Contract Details
Cleveland Senior Living
Facility name
The Olive Home
Provider ID
P000000001
Tax ID
371785713
Effective Date
11/24/2020
Last Updated
12/1/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_466
Location Details
Address
1100 Second Avenue East
Oneonta, AL 35121
United States
Phone
205-813-7582 (Phone)
Billing Details
Address
1100 Second Avenue East
Oneonta, AL 35121
Billing Phone
205-813-7582
Specialty Type
Assisted Living Facility
Website
Visit Website
Workers Comp Coordinator
Melissa
Gilliland
205-813-7582
Map
Address