Organization
OLIVE BRANCH RESIDENTIAL, LLC
Active
Other names
Olive Grove Terrace Assisted Living, Olive Grove Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE TIMOTHY SCHADE (MANAGER)
(573) 471-1113
Entity
Organization
Contact information
Practice address
9684 GOODMAN RD, OLIVE BRANCH, MS 38654-1726
(662) 895-7609
(662) 895-3501
Mailing address
9684 GOODMAN RD, OLIVE BRANCH, MS 38654-1726
(662) 895-7609
(662) 895-3501
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
03/10/2026
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