Organization
OLIVIAS FRIENDS CARE MANAGEMENT AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE M RUSSELL LMSW (FOUNDER/OWNER/DIRECTOR)
(585) 333-0299
Entity
Organization
Contact information
Practice address
333 HEMPSTEAD AVE, MALVERNE, NY 11565-1254
(585) 333-0299
Mailing address
333 HEMPSTEAD AVE, MALVERNE, NY 11565-1254
(585) 333-0299
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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