Organization
OLIVE HOME CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN UKEJE (PRESIDENT)
(347) 938-2470
Entity
Organization
Contact information
Practice address
81 SIMONSON AVE, STATEN ISLAND, NY 10303-2506
(347) 938-2470
Mailing address
81 SIMONSON AVE, STATEN ISLAND, NY 10303-2506
(347) 938-2470
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
006719-1
NY
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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