| Olive Care Residential Inc | |
|
1653 S Seneca Ave Alliance OH 44601-4356 | |
| (330) 356-4420 | |
| Not Available |
| Full Name | Olive Care Residential Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurodevelopmental Disabilities |
| Location | 1653 S Seneca Ave, Alliance, Ohio |
| Authorized Official Name and Position | Jarvis Mack (OWNER) |
| Authorized Official Contact | 3303564420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Care Residential Inc 1653 S Seneca Ave Alliance OH 44601-4356 Ph: (330) 356-4420 | Olive Care Residential Inc 1653 S Seneca Ave Alliance OH 44601-4356 Ph: (330) 356-4420 |
| NPI Number | 1871325621 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871325621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0005X | Psychiatry & Neurology - Neurodevelopmental Disabilities | (* (Not Available)) | Primary |
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