Organization
OLIVE LIVING ASSISTED LIVING LLC
Active
Other names
Olive Living Assisted Living LLC
Organization subpart
No
Provider details
NPI number
Authorized official
POLYCARP NWALOR (DIRECTOR)
(443) 762-0314
Entity
Organization
Contact information
Practice address
4802 WENDEL AVE, BALTIMORE, MD 21206-3300
(443) 762-0314
Mailing address
4802 WENDEL AVE, BALTIMORE, MD 21206-3300
(443) 762-0314
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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