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OLIVE GARDEN HEALTHCARE SERV. LLC NPI 1578841029


NPI Information

NPI: 1578841029
Provider Name: OLIVE GARDEN HEALTHCARE SERV. LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
90 COMMERCE DR STE A
FAYETTEVILLE, GA
ZIP 30214
Phone: (800) 256-5005
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OLIVE GARDEN HEALTHCARE SERV. LLC is a nursing care in Fayetteville, GA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. OLIVE GARDEN HEALTHCARE SERV. LLC NPI is 1578841029. The provider is registered as an organization entity type.

The provider's business location address is:

90 COMMERCE DR STE A
FAYETTEVILLE, GA
ZIP 30214-519
Phone: (800) 256-5005
Fax: (404) 889-8661

The provider's authorized official is Dorcas Bolaji .
The authorized official title is Administrator and has the following contact phone number (678) 907-2089.

The enumeration date for this NPI number is 8/2/2011 and was last updated on 8/2/2011.


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
1251J00000XNursing CareO56-R-0865GEORGIAYes

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: 4/28/2024

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