Provider Demographics
NPI:1346589918
Name:ANIM, OLIVIA ABENA
Entity Type:Individual
Prefix:MISS
First Name:OLIVIA
Middle Name:ABENA
Last Name:ANIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HABERSHAM CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-5756
Mailing Address - Country:US
Mailing Address - Phone:240-277-2452
Mailing Address - Fax:
Practice Address - Street 1:1 HABERSHAM CT
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-5756
Practice Address - Country:US
Practice Address - Phone:240-277-2452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health