| NPI | 1619792413 |
|---|---|
| Doing Business As | OLIVIA'S HOUSE |
| Entity Type | Organization |
| Authorized Contact | DAI-RA FICKLING Owner 864-275-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |