Organization
OLIVE CARE RESIDENTIAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARVIS MACK (OWNER)
(330) 356-4420
Entity
Organization
Contact information
Practice address
1653 S SENECA AVE, ALLIANCE, OH 44601-4356
(330) 356-4420
Mailing address
1653 S SENECA AVE, ALLIANCE, OH 44601-4356
(330) 356-4420
Taxonomy
Speciality
Code
Description
License number
State
2084P0005X
Neurodevelopmental Disabilities Physician
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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