# OLIVER'S HOUSE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649073065
- **Authorized official:** MS. DEIRDRE D VINSON (MEMBER/ORGANIZER)
- **Authorized official phone:** (336) 512-9568

## Contact information

- **Practice address:** 604 LEE ST, MEBANE, NC 27302-9155
- **Practice address phone:** (336) 512-9568
- **Mailing address:** 3306 DORAL CT, BURLINGTON, NC 27215-8101
- **Mailing address phone:** (336) 512-9568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/31/2025
- **Last updated:** 04/01/2025