Organization
OLIVE CARE DURABLE MEDICAL & SUPPLIES, LLC.
Active
Organization
OLIVE CARE DURABLE MEDICAL & SUPPLIES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARISHA MARIE AMMONS (OWNER)
(912) 314-8415
Entity
Organization
Contact information
Practice address
123 S. MAIN ST., REIDSVILLE, GA 30453
(912) 557-1084
(912) 557-1086
Mailing address
185 PERKINS HENDRIX RD, COLLINS, GA 30421-3008
(912) 314-8415
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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