Organization · Type 2 NPI
Olive Branch Communities LLC
Adult Care Home Facility · Waterford, WI
NPI number
1093457210
Active
Practice location
515 E Main St
Waterford, WI 53185-4428
Mailing address
PO Box 532
Burlington, WI 53105-0532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility | 310400000X | None listed |
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | None listed |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
| Private Vehicle | 347C00000X | None listed |
Adult Care Home Facility: 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.
About NPI 1093457210
Olive Branch Communities LLC's National Provider Identifier is 1093457210, issued on Apr 8, 2022. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Waterford, WI. The record was last updated on Apr 8, 2022.