Individual
OCTAVIA OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 GOVERNMENT ST, MOBILE, AL 36606-1632
(251) 377-5344
Mailing address
2480 GOVERNMENT ST, MOBILE, AL 36606-1632
(251) 377-5344
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
AL
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999999999
—
AL
Enumeration date
10/01/2021
Last updated
10/01/2021
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