Provider Demographics
NPI:1063374379
Name:OLIVE HEALTH CARE SERVICES
Entity type:Organization
Organization Name:OLIVE HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANISER
Authorized Official - Prefix:
Authorized Official - First Name:ONOME
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIEL-NWOKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-910-2640
Mailing Address - Street 1:289 HOPE HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-2219
Mailing Address - Country:US
Mailing Address - Phone:678-910-2640
Mailing Address - Fax:
Practice Address - Street 1:289 HOPE HOLLOW RD
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-2219
Practice Address - Country:US
Practice Address - Phone:678-910-2640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-25
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health