| NPI | 1407567456 |
|---|---|
| Doing Business As | OLE CREEK HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY MOORE Executive Management 984-358-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 310400000X Assisted Living Facility | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2023-03-24 |