Provider Demographics
NPI:1447406780
Name:OLIVE AND KRELL ASSOCIATES, LLC
Entity type:Organization
Organization Name:OLIVE AND KRELL ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-880-4861
Mailing Address - Street 1:4829 FREDERICKSBURG RD STE A
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3685
Mailing Address - Country:US
Mailing Address - Phone:210-880-4861
Mailing Address - Fax:210-569-6121
Practice Address - Street 1:4829 FREDERICKSBURG RD STE A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3685
Practice Address - Country:US
Practice Address - Phone:210-880-4861
Practice Address - Fax:210-569-6121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health