Provider Demographics
NPI:1679656136
Name:OAKLEIGH RESPIRATORY CARE, INC.
Entity Type:Organization
Organization Name:OAKLEIGH RESPIRATORY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:SHAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-937-7009
Mailing Address - Street 1:PO BOX 864
Mailing Address - Street 2:
Mailing Address - City:STAPLETON
Mailing Address - State:AL
Mailing Address - Zip Code:36578-0864
Mailing Address - Country:US
Mailing Address - Phone:251-937-7009
Mailing Address - Fax:251-937-0014
Practice Address - Street 1:34327 US HWY 31 S
Practice Address - Street 2:
Practice Address - City:STAPLETON
Practice Address - State:AL
Practice Address - Zip Code:36578
Practice Address - Country:US
Practice Address - Phone:251-937-7009
Practice Address - Fax:251-937-0014
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OAKLEIGH RESPIRATORY CARE,INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-20
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL6710930001OtherMEDICARE
AL6710930001OtherMEDICARE