Provider Demographics
NPI:1982149183
Name:OLIVIA OPERATIONS LLC
Entity Type:Organization
Organization Name:OLIVIA OPERATIONS LLC
Other - Org Name:OLIVIA REHABILITATION AND HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EPHRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LAHASKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-772-3668
Mailing Address - Street 1:1003 W MAPLE AVE
Mailing Address - Street 2:P.O. BOX 229
Mailing Address - City:OLIVIA
Mailing Address - State:MN
Mailing Address - Zip Code:56277-1063
Mailing Address - Country:US
Mailing Address - Phone:320-523-1652
Mailing Address - Fax:320-523-5734
Practice Address - Street 1:1003 W MAPLE AVE
Practice Address - Street 2:
Practice Address - City:OLIVIA
Practice Address - State:MN
Practice Address - Zip Code:56277-1063
Practice Address - Country:US
Practice Address - Phone:320-523-1652
Practice Address - Fax:320-523-5734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-23
Last Update Date:2016-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility