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General NPI Number Information
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NPI Number | 1275752248
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Entity Type | Organization
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Legal Business Name | OLIVE BRANCH HEALTH CENTER
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 216 S HARRISON ST
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City | EASTON
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State | MD
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Zip | 21601-2946
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Country | US
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Telephone | 410-820-5859
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Fax |
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Provider Business Mailing Address
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Address Line | 1207 KENYON ST NW
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City | WASHINGTON
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State | DC
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Zip | 20010-2421
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Country | US
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Telephone | 410-820-5859
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Fax | 410-820-9914
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHEILA HOXIE
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Credential |
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Telephone | 410-820-5859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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