Organization
OLIVIA'S SENIOR HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA LARANJO BROWN OWNER (ADMINISTRATOR)
(479) 285-5241
Entity
Organization
Contact information
Practice address
5111 ROGERS AVE STE 504, FORT SMITH, AR 72903-2041
(479) 285-5241
(479) 551-3269
Mailing address
5111 ROGERS AVE STE 504, FORT SMITH, AR 72903-2041
(479) 285-5241
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231546797
—
AR
Enumeration date
10/22/2020
Last updated
10/22/2020
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