NPI 1093457210
Olive Branch Communities LLC
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
Assisted Living Facility
Assisted Living Facility (Behavioral Disturbances)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Private Vehicle
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.