Provider Demographics
NPI:1548556400
Name:OAKWOOD RETIREMENT VILLAGE HOME HEALTH
Entity Type:Organization
Organization Name:OAKWOOD RETIREMENT VILLAGE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-249-2600
Mailing Address - Street 1:5801 N OAKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-9344
Mailing Address - Country:US
Mailing Address - Phone:580-249-2600
Mailing Address - Fax:580-233-3426
Practice Address - Street 1:5801 N OAKWOOD RD
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-9344
Practice Address - Country:US
Practice Address - Phone:580-249-2600
Practice Address - Fax:580-233-3426
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOLDEN OAKS SENIOR LIVING COMMUNITY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-20
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7559261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service