Organization
OLIVER HOUSE
Active
Organization
OLIVER HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA A HALLMAN (CONTROLLER)
(828) 324-8898
Entity
Organization
Contact information
Practice address
4230 WENDELL BLVD, WENDELL, NC 27591-8412
(919) 366-9737
(919) 365-3394
Mailing address
PO BOX 1897, 4230 WENDELL BOULEVARD, WENDELL, NC 27591-1897
(919) 366-9737
(919) 365-3394
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL092086
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804665
—
NC
Enumeration date
09/23/2005
Last updated
08/22/2020
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