Provider Demographics
NPI:1215533658
Name:HIGH SPRINGS OAKS, LLC
Entity Type:Organization
Organization Name:HIGH SPRINGS OAKS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:META
Authorized Official - Middle Name:BROOKS
Authorized Official - Last Name:MCCLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-454-0801
Mailing Address - Street 1:23301 W US HIGHWAY 27
Mailing Address - Street 2:
Mailing Address - City:HIGH SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32643-2110
Mailing Address - Country:US
Mailing Address - Phone:386-454-0801
Mailing Address - Fax:
Practice Address - Street 1:23301 W US HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:HIGH SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32643-2110
Practice Address - Country:US
Practice Address - Phone:386-454-0801
Practice Address - Fax:386-454-4436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility