Provider Demographics
NPI:1376674606
Name:YANCEY INVESTMENT COMPANY DBA OAKHURST
Entity Type:Organization
Organization Name:YANCEY INVESTMENT COMPANY DBA OAKHURST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:STRADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-292-1349
Mailing Address - Street 1:3004 DEXTER AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-3616
Mailing Address - Country:US
Mailing Address - Phone:336-292-1349
Mailing Address - Fax:336-292-1306
Practice Address - Street 1:3004 DEXTER AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-3616
Practice Address - Country:US
Practice Address - Phone:336-292-1349
Practice Address - Fax:336-292-1306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-041-008310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility