Provider Demographics
NPI:1508978859
Name:OE ENTERPRISES, INC
Entity Type:Organization
Organization Name:OE ENTERPRISES, INC
Other - Org Name:ORANGE ENTERPRISES, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:STICKSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-732-8124
Mailing Address - Street 1:348 ELIZABETH BRADY RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-9540
Mailing Address - Country:US
Mailing Address - Phone:919-732-8124
Mailing Address - Fax:919-732-4027
Practice Address - Street 1:348 ELIZABETH BRADY RD
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-9540
Practice Address - Country:US
Practice Address - Phone:919-732-8124
Practice Address - Fax:919-732-4027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X
NCMHL-068-126251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408261Medicaid