Organization
OLIVE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUSOLA AYODEJI AGUNBIADE (ADMINISTRATOR)
(612) 886-6206
Entity
Organization
Contact information
Practice address
5836 JAMES AVE N, BROOKLYN CENTER, MN 55430-3421
(612) 886-6206
Mailing address
5836 JAMES AVE N, BROOKLYN CENTER, MN 55430-2648
(612) 886-6206
(612) 324-7402
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
384331
MN
Other
Enumeration date
06/13/2018
Last updated
09/01/2023
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