Organization
OLIVER'S HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEIRDRE D VINSON (MEMBER/ORGANIZER)
(336) 512-9568
Entity
Organization
Contact information
Practice address
604 LEE ST, MEBANE, NC 27302-9155
(336) 512-9568
Mailing address
3306 DORAL CT, BURLINGTON, NC 27215-8101
(336) 512-9568
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
04/01/2025
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