Provider Demographics
NPI:1003149600
Name:THE OAKS OF ALAMANCE, LLC
Entity Type:Organization
Organization Name:THE OAKS OF ALAMANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-595-1075
Mailing Address - Street 1:PO BOX 1487
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27285-1487
Mailing Address - Country:US
Mailing Address - Phone:336-595-1075
Mailing Address - Fax:336-595-1078
Practice Address - Street 1:1670 WESTBROOK AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-9700
Practice Address - Country:US
Practice Address - Phone:336-584-3070
Practice Address - Fax:336-584-3458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility