Organization
OLIVE TREE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EULALIA VANN ELDERLY CARE (FACILITY MANAGER)
(562) 432-1163
Entity
Organization
Contact information
Practice address
1035 OLIVE AVE, LONG BEACH, CA 90813-3518
(562) 432-1163
Mailing address
1035 OLIVE AVE, LONG BEACH, CA 90813-3518
(562) 432-1163
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
197803459
CA
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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