Organization
OLIVEBRANCH UNITY HEALTH SERVICES, LLC
Active
Parent organization
OLIVEBRANCH UNITY HEALTH SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLIVEBRANCH UNITY HEALTH SERVICES, LLC
Authorized official
SHAQUINDRA HALL COTA/L (OWNER AND FOUNDER)
(915) 240-5618
Entity
Organization
Contact information
Practice address
5245 CENTENNIAL BLVD STE 100, COLORADO SPRINGS, CO 80919-4405
(915) 240-5618
Mailing address
5245 CENTENNIAL BLVD STE 100, COLORADO SPRINGS, CO 80919-4405
(915) 240-5618
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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