Organization
OLIVE MEDICAL SERVICES
Active
Organization
OLIVE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ONYEBUCHI KINGSLEY IWEKA (MANAGER)
(202) 508-3889
Entity
Organization
Contact information
Practice address
1717 K ST NW, SUITE 600, WASHINGTON, DC 20036-5346
(202) 508-3889
(202) 442-4429
Mailing address
1717 K ST NW, SUITE 600, WASHINGTON, DC 20036-5346
(202) 508-3889
(202) 442-4429
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
21465XXXX-116852
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21465XXXX-116852
UNIQUE BUSINESS ID
DC
Enumeration date
09/15/2006
Last updated
08/22/2020
Update your record
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