Olympic Medical LLC

NPI #1710692173 in Ankeny, Iowa

Provider Information

NPI Number: 1710692173
Entity Type: Organization
Organization Name: Olympic Medical LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 19, 2023
Last Updated: Apr 20, 2023

Practice Location

Address: 4823 NE OAK LN
City: Ankeny
State: Iowa
ZIP Code: 50021-1851
Phone: (712) 221-5827

Authorized Official

Name: RAYMOND AGBOR, MR
Title: CEO
Phone: (712) 221-5827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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