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Olive Branch Communities Llc
Private Vehicle in Waterford, Wisconsin
NPI 1093457210

Olive Branch Communities Llc is a Private Vehicle based in Burlington, WI. Olive Branch Communities Llc practices in Waterford, WI. The NPI Number for Olive Branch Communities Llc is 1093457210 and holds a License No. (Wisconsin).

The current practice location address for Olive Branch Communities Llc is 515 E Main St, Waterford, WI and can be reached out via phone at 262-342-0200.

Location: 515 E Main St, Waterford, WI, 53105-0532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093457210
Provider Name
Olive Branch Communities Llc
Credential
Provider Entity Type
Organization
Address
515 E Main St, Waterford, WI, 53105-0532
Phone Number
262-342-0200
Fax Number
Provider Enumeration Date
04/08/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
515 E Main St
City
Waterford
State
Wisconsin
Zip
53185-4428
Phone Number
262-342-0200
Fax Number
person
Provider Business Mailing Address Details
Address
515 E Main St
City
Waterford
State
Wisconsin
Zip
53185-4428
Phone Number
262-342-0200
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Behavioral Disturbances
Taxonomy
3104A0630X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 5
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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