# OLIN VILLAGE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Olin Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588763254
- **Authorized official:** EVELYN MCCUBBINS (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (336) 752-2751

## Contact information

- **Practice address:** 999 TABOR RD, OLIN, NC 28660-9471
- **Practice address phone:** (704) 546-7121
- **Mailing address:** 2959 SOWERS RD, LINWOOD, NC 27299-9351
- **Mailing address phone:** (336) 752-2751
- **Mailing address fax:** (336) 752-2410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 10/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7803808 | — | NC |