Provider Demographics
NPI:1124386578
Name:OLIVE BRANCH HEALTHCARE INC.
Entity Type:Organization
Organization Name:OLIVE BRANCH HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-289-5919
Mailing Address - Street 1:12375 BISSONNET ST
Mailing Address - Street 2:36
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-1271
Mailing Address - Country:US
Mailing Address - Phone:832-289-5919
Mailing Address - Fax:
Practice Address - Street 1:12375 BISSONNET ST
Practice Address - Street 2:36
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-1271
Practice Address - Country:US
Practice Address - Phone:832-289-5919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health