Provider Demographics
NPI:1982002580
Name:OAKLAND PLACE, INC
Entity Type:Organization
Organization Name:OAKLAND PLACE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:ALA, RN
Authorized Official - Phone:251-928-5560
Mailing Address - Street 1:19570 COUNTY ROAD 33
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-4962
Mailing Address - Country:US
Mailing Address - Phone:251-928-5560
Mailing Address - Fax:251-928-5559
Practice Address - Street 1:19570 COUNTY ROAD 33
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-4962
Practice Address - Country:US
Practice Address - Phone:251-928-5560
Practice Address - Fax:251-928-5559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-12
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALP0202311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)