Whalio Doctors

NPI 1093457210

Olive Branch Communities LLC

Organisation Adult Care Home Facility Waterford, WI

Practice location

Address
515 E Main St, Waterford, WI 53185-4428
Phone
(262) 342-0200
Mailing address
PO Box 532, Burlington, WI 53105-0532

Authorised official

Name
Adriane Nelson
Title
Ceo
Phone
(262) 342-0200

Registered specialties (5)

Adult Care Home Facility Primary
Nursing & Custodial Care Facilities Taxonomy 311ZA0620X
Assisted Living Facility
Nursing & Custodial Care Facilities Taxonomy 310400000X
Assisted Living Facility (Behavioral Disturbances)
Nursing & Custodial Care Facilities Taxonomy 3104A0630X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X
Private Vehicle
Transportation Services Taxonomy 347C00000X

Registry record

NPI
1093457210
Entity type
Organization
NPI issued
8 Apr 2022
Record last updated
8 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.