| NPI | 1699191775 |
|---|---|
| Doing Business As | OLIVE GROVE RESIDENTIAL CARE |
| Entity Type | Organization |
| Authorized Contact | ROYCE LONG Corporate Officer/President 714-981-9081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NV 76654GC-1) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |