Provider Demographics
NPI:1437858271
Name:OAKLAND LIVING LLC
Entity Type:Organization
Organization Name:OAKLAND LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:WOODWARD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:828-381-4923
Mailing Address - Street 1:PO BOX 2663
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28603-2663
Mailing Address - Country:US
Mailing Address - Phone:828-381-4923
Mailing Address - Fax:
Practice Address - Street 1:704 POORS FORD RD
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-9215
Practice Address - Country:US
Practice Address - Phone:828-381-4923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility