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Olive Branch Residential, Llc
Assisted Living Facility in Olive Branch, Mississippi
NPI 1225127426

Olive Branch Residential, Llc is an Assisted Living Facility based in Olive Branch, MS. Olive Branch Residential, Llc practices in Olive Branch, MS. The NPI Number for Olive Branch Residential, Llc is 1225127426 and holds a License No. (Mississippi).

The current practice location address for Olive Branch Residential, Llc is 9684 Old Goodman Road, Olive Branch, MS and can be reached out via phone at 662-895-7609 and via fax at 662-895-3501.

Location: 9684 Old Goodman Road, Olive Branch, MS, 38654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225127426
Provider Name
Olive Branch Residential, Llc
Credential
Provider Entity Type
Organization
Address
9684 Old Goodman Road, Olive Branch, MS, 38654
Phone Number
662-895-7609
Fax Number
662-895-3501
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9684 Old Goodman Road
City
Olive Branch
State
Mississippi
Zip
38654
Phone Number
662-895-7609
Fax Number
662-895-3501
person
Provider Business Mailing Address Details
Address
9684 Old Goodman Road
City
Olive Branch
State
Mississippi
Zip
38654
Phone Number
662-895-7609
Fax Number
662-895-3501
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.
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