Provider Demographics
NPI:1356856637
Name:OAKLAWN ESTATES, LLC
Entity Type:Organization
Organization Name:OAKLAWN ESTATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-530-3837
Mailing Address - Street 1:1901 S LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71801-8221
Mailing Address - Country:US
Mailing Address - Phone:870-777-8855
Mailing Address - Fax:870-777-8462
Practice Address - Street 1:1901 S LAUREL ST
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-8221
Practice Address - Country:US
Practice Address - Phone:870-777-8855
Practice Address - Fax:870-777-8462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-07
Last Update Date:2017-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR938314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility