Provider Demographics
NPI:1245469469
Name:OLIVIA SARITVANICH
Entity type:Organization
Organization Name:OLIVIA SARITVANICH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARITVANICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-581-1700
Mailing Address - Street 1:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:ME
Mailing Address - Zip Code:04489-0024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:116 KIRKLAND ROAD
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:ME
Practice Address - Zip Code:04489
Practice Address - Country:US
Practice Address - Phone:207-581-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care