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General NPI Number Information
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NPI Number | 1699596940
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Entity Type | Organization
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Legal Business Name | OLIVE BRANCH FAMILY CARE HOMES OF UNION COUNTY, LLC
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 502 N ELM ST
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City | MARSHVILLE
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State | NC
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Zip | 28103-1029
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Country | US
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Telephone | 704-305-7851
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Fax | 855-595-2307
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Provider Business Mailing Address
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Address Line | 502 N ELM ST
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City | MARSHVILLE
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State | NC
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Zip | 28103-1029
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Country | US
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Telephone | 704-305-7851
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Fax | 855-595-2307
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. PAMELA C SMITH
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Credential | OWNER
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Telephone | 704-305-7851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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