Provider Demographics
NPI:1386478204
Name:OLSON HEALTHCARE, LLC
Entity type:Organization
Organization Name:OLSON HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:MISSELWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-870-6700
Mailing Address - Street 1:3848 FLATIRON LOOP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-7825
Mailing Address - Country:US
Mailing Address - Phone:813-853-0944
Mailing Address - Fax:813-658-5880
Practice Address - Street 1:3848 FLATIRON LOOP UNIT 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-7825
Practice Address - Country:US
Practice Address - Phone:813-853-0944
Practice Address - Fax:813-658-5880
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OLSON HEALTHCARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-02
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health