NPI 1619292828

Olive Tree Home

Organisation Adult Care Home Facility Long Beach, CA

Practice location

Address: 1035 Olive Ave, Long Beach, CA 90813-3518
Phone: (562) 432-1163

Authorised official

Name: Eulalia Vann
Title: Facility Manager
Phone: (562) 432-1163

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 197803459 (CA)

Other Custodial Care Facility providers in California →

Registry record

NPI: 1619292828
Entity type: Organization
NPI issued: 30 Mar 2010
Record last updated: 30 Mar 2010

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.