Provider Demographics
NPI:1568223766
Name:OAKHURST BOARD AND CARE
Entity Type:Organization
Organization Name:OAKHURST BOARD AND CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCWEALTH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:559-458-3947
Mailing Address - Street 1:1616 W SHAW AVE STE B4
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-3513
Mailing Address - Country:US
Mailing Address - Phone:559-293-3174
Mailing Address - Fax:559-570-0194
Practice Address - Street 1:41456 PAMELA PL
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:CA
Practice Address - Zip Code:93644-9540
Practice Address - Country:US
Practice Address - Phone:459-683-3605
Practice Address - Fax:559-683-8992
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCWEALTH CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility