Provider Demographics
NPI:1114630241
Name:RIGHTEOUS OAK LLC
Entity Type:Organization
Organization Name:RIGHTEOUS OAK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHIYUKI
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PMP
Authorized Official - Phone:941-273-2670
Mailing Address - Street 1:1500 COLONIAL BLVD.
Mailing Address - Street 2:SUITE 234
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907
Mailing Address - Country:US
Mailing Address - Phone:941-273-2670
Mailing Address - Fax:
Practice Address - Street 1:1500 COLONIAL BLVD.
Practice Address - Street 2:SUITE 234
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907
Practice Address - Country:US
Practice Address - Phone:941-273-2670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care