Provider Demographics
NPI:1790306629
Name:OAKSTEAD NURSING SERVICES, LLC
Entity Type:Organization
Organization Name:OAKSTEAD NURSING SERVICES, LLC
Other - Org Name:OAKSTEAD NURSING GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GALERIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-630-2072
Mailing Address - Street 1:1492 W ANTELOPE DR STE 208A
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-1158
Mailing Address - Country:US
Mailing Address - Phone:805-630-2072
Mailing Address - Fax:801-991-6924
Practice Address - Street 1:1492 W ANTELOPE DR STE 208A
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-1158
Practice Address - Country:US
Practice Address - Phone:805-630-2072
Practice Address - Fax:801-991-6924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-01
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy