| NPI | 1194710590 |
|---|---|
| Doing Business As | THE OLIVE BRANCH SENIOR CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY JANE EILAND Administrator 318-574-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 234) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: LA 234) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: LA 234) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2008-08-11 |