Organization
OLIN VILLAGE LLC
Active
Other names
Olin Village
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN MCCUBBINS (OWNER/ADMINISTRATOR)
(336) 752-2751
Entity
Organization
Contact information
Practice address
999 TABOR RD, OLIN, NC 28660-9471
(704) 546-7121
Mailing address
2959 SOWERS RD, LINWOOD, NC 27299-9351
(336) 752-2751
(336) 752-2410
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803808
—
NC
Enumeration date
09/21/2006
Last updated
10/16/2023
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