Organization
OLIVIA'S SENIOR HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA LARANJO BROWN CEO (ADMINISTRATOR)
(479) 285-5241
Entity
Organization
Contact information
Practice address
111 E GAINES ST, MONTICELLO, AR 71655-4901
(479) 285-5241
Mailing address
111 E GAINES ST, MONTICELLO, AR 71655-4901
(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
—
239518797
—
AR
Enumeration date
10/23/2020
Last updated
10/23/2020
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