Provider Demographics
NPI:1184497711
Name:GETWELL OF OLIVE BRANCH LLC
Entity type:Organization
Organization Name:GETWELL OF OLIVE BRANCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WENDI
Authorized Official - Middle Name:
Authorized Official - Last Name:CURLEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-246-4194
Mailing Address - Street 1:13084 PETERSON LOOP RD
Mailing Address - Street 2:
Mailing Address - City:COTTONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35453-0360
Mailing Address - Country:US
Mailing Address - Phone:205-246-4194
Mailing Address - Fax:662-404-8998
Practice Address - Street 1:8831 GOODMAN RD
Practice Address - Street 2:
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654-2203
Practice Address - Country:US
Practice Address - Phone:662-404-8989
Practice Address - Fax:662-404-8998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy