| Olive Home Care Services, Inc | |
|
808 Commerce Blvd E Riverdale GA 30296-7192 | |
| (770) 997-8949 | |
| Not Available |
| Full Name | Olive Home Care Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 808 Commerce Blvd, Riverdale, Georgia |
| Authorized Official Name and Position | Ganiyu Kasumu (ADMINISTRATOR) |
| Authorized Official Contact | 7709978949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Home Care Services, Inc 808 Commerce Blvd E Riverdale GA 30296-7192 Ph: (770) 997-8949 | Olive Home Care Services, Inc 808 Commerce Blvd E Riverdale GA 30296-7192 Ph: (770) 997-8949 |
| NPI Number | 1063896009 |
|---|---|
| Provider Enumeration Date | 07/18/2015 |
| Last Update Date | 07/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063896009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 031-R-0047 (Georgia) | Primary |
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