DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OLIVE BRANCH RESIDENTIAL, LLC

Active Organization

OLIVE BRANCH RESIDENTIAL, LLC is a Assisted Living Facility organization located in OLIVE BRANCH, Mississippi. NPI 1225127426 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · OLIVE BRANCH, MS

Registration Details

NPI Number
1225127426
Provider Type
Organization
NPI Issued
Oct 12, 2006 (19.866758605428 yrs)
Last Updated
Aug 15, 2008

Practice Information

Address
9684 OLD GOODMAN ROAD
OLIVE BRANCH, MS, 38654
Browse MS providers · Browse ZIP 38654
Phone
6628957609
Fax
6628953501
Primary Specialty
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.