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Organization

OLLANE AND ASSOCIATES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRIS SIMMONS I (SECRETARY)
(910) 578-6806
Entity
Organization

Contact information

Practice address
1032 GLEN REILLY DR, FAYETTEVILLE, NC 28314-5613
(910) 578-6806
(919) 331-0026
Mailing address
9609 KENNEBEC RD, WILLOW SPRING, NC 27592-9417
(910) 578-6806
(919) 331-0026

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-026-776
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6603964
NC
Enumeration date
02/06/2007
Last updated
08/22/2020
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