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OLIVE BRANCH ASSISTED LIVING LLC NPI 1801394861


NPI Information

NPI: 1801394861
Provider Name: OLIVE BRANCH ASSISTED LIVING LLC

Doing Business As: TERRA MEDICAL TRANSPORT

Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
1121 N OLIVE AVE
CASA GRANDE, AZ
ZIP 85122
Phone: (602) 618-3756
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OLIVE BRANCH ASSISTED LIVING LLC is a non emergency medical transport van in Casa Grande, AZ. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. OLIVE BRANCH ASSISTED LIVING LLC NPI is 1801394861. The provider is registered as an organization entity type.
The provider Is Doing Business As Terra Medical Transport.

The provider's business location address is:

1121 N OLIVE AVE
CASA GRANDE, AZ
ZIP 85122-418
Phone: (602) 618-3756

The provider's authorized official is Russell Allen Appleton .
The authorized official title is Owner and has the following contact phone number (602) 618-3756.

The enumeration date for this NPI number is 1/24/2018 and was last updated on 1/24/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)50709ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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