Provider Demographics
NPI:1790810638
Name:OAKLAND LIVING CENTER, INC.
Entity Type:Organization
Organization Name:OAKLAND LIVING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:SPLAWN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:(R) RT, RN
Authorized Official - Phone:828-286-3379
Mailing Address - Street 1:704 POORS FORD RD
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-9215
Mailing Address - Country:US
Mailing Address - Phone:828-286-3379
Mailing Address - Fax:828-288-0256
Practice Address - Street 1:704 POORS FORD RD
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-9215
Practice Address - Country:US
Practice Address - Phone:828-286-3379
Practice Address - Fax:828-288-0256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-081-013310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility