| NPI | 1568009512 |
|---|---|
| Doing Business As | OLIVE HOUSE |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN HAYWOOD Owner 951-545-4462 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |