Organization · Type 2 NPI

Olive Grove LLC

Adult Care Home Facility · Las Vegas, NV

NPI number 1699191775 Active

Practice location

9446 Back Bay Cir
Las Vegas, NV 89123-5947

Call (702) 413-6947 Map

Fax (702) 359-1983

Mailing address

723 E Kirkwall Rd
Glendora, CA 91740-5715

Specialties and licenses

Taxonomy	Code	License
Adult Care Home Facility Primary	311ZA0620X	76654GC-1 (NV)

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.

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About NPI 1699191775

Olive Grove LLC's National Provider Identifier is 1699191775, issued on Mar 12, 2014. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 12, 2014.