Provider Demographics
NPI:1740603042
Name:OLIVER ENTERPRISE LLC
Entity Type:Organization
Organization Name:OLIVER ENTERPRISE LLC
Other - Org Name:CARING HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/MGR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-645-8934
Mailing Address - Street 1:3225 GROVESHIRE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-8391
Mailing Address - Country:US
Mailing Address - Phone:919-645-8934
Mailing Address - Fax:
Practice Address - Street 1:2546 W PALMETTO ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-5926
Practice Address - Country:US
Practice Address - Phone:803-250-1093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-23
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management