Organization
OLIVEBRANCH UNITY HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAQUINDRA D HALL COTA/L (CEO)
(915) 240-5618
Entity
Organization
Contact information
Practice address
5245 CENTENNIAL BLVD STE 100, COLORADO SPGS, CO 80919-4405
(719) 354-4733
(719) 374-5534
Mailing address
5245 CENTENNIAL BLVD STE 100, COLORADO SPGS, CO 80919-4405
(719) 354-4733
(719) 374-5534
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
07/09/2021
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