Provider Demographics
NPI:1164636692
Name:TWIN OAKS ASSISTED LIVING, INC.
Entity Type:Organization
Organization Name:TWIN OAKS ASSISTED LIVING, INC.
Other - Org Name:TWIN OAKS ASSISTED LIVING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-684-1001
Mailing Address - Street 1:999 N M ST
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-2019
Mailing Address - Country:US
Mailing Address - Phone:559-684-1001
Mailing Address - Fax:559-684-9988
Practice Address - Street 1:999 N M ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-2019
Practice Address - Country:US
Practice Address - Phone:559-684-1001
Practice Address - Fax:559-684-9988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA547201719310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA547201719OtherDEPT. OF SOCIAL SERVICES