Healthcare Provider Details

I. General information

NPI: 1487523890
Provider Name (Legal Business Name): OLGA'S & COLETTE WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 PEACEFUL WAY
BEAUFORT SC
29906-9735
US

IV. Provider business mailing address

10 PEACEFUL WAY
BEAUFORT SC
29906-9735
US

V. Phone/Fax

Practice location:
  • Phone: 843-986-7981
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: OLGA FIELDS HAMILTON
Title or Position: ADMINISTRATOR
Credential:
Phone: 843-986-7981