Provider Demographics
NPI:1770226516
Name:OLIVE BRANCH HOME CARE SERVICES
Entity Type:Organization
Organization Name:OLIVE BRANCH HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-551-5428
Mailing Address - Street 1:552 MEMORIAL DRIVE EXT STE 200
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-1135
Mailing Address - Country:US
Mailing Address - Phone:843-713-1104
Mailing Address - Fax:
Practice Address - Street 1:552 MEMORIAL DRIVE EXT STE 200
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-1135
Practice Address - Country:US
Practice Address - Phone:843-713-1104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health