Provider Demographics
NPI:1720542228
Name:OLP SERVICES LLC
Entity Type:Organization
Organization Name:OLP SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWN
Authorized Official - Prefix:MS
Authorized Official - First Name:RUBYSTEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-807-5006
Mailing Address - Street 1:702 HELEN P PERKINS AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLANDALE
Mailing Address - State:MS
Mailing Address - Zip Code:38748-3112
Mailing Address - Country:US
Mailing Address - Phone:662-807-5006
Mailing Address - Fax:662-807-5045
Practice Address - Street 1:702 HELEN P PERKINS AVE
Practice Address - Street 2:
Practice Address - City:HOLLANDALE
Practice Address - State:MS
Practice Address - Zip Code:38748-3112
Practice Address - Country:US
Practice Address - Phone:662-807-5006
Practice Address - Fax:662-807-5045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No385H00000XRespite Care FacilityRespite Care