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Organization

OLIVE TREE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GRACE LEE (OWNER)
(646) 670-8718
Entity
Organization

Contact information

Practice address
2028 LIBERTY RD, ELDERSBURG, MD 21784-6677
(410) 795-4686
(410) 795-9582
Mailing address
11301 BISHOPS GATE LN, LAUREL, MD 20723-2052
(646) 670-8718

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
MD

Other

Enumeration date
09/22/2011
Last updated
09/22/2011
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