| NPI | 1225127426 |
|---|---|
| Doing Business As | OLIVE GROVE TERRACE |
| Entity Type | Organization |
| Authorized Contact | JAMES REIKER Treasurer 662-895-7609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-08-15 |