Provider Demographics
NPI:1780452102
Name:OAK HAVEN SNF OPERATIONS LLC
Entity type:Organization
Organization Name:OAK HAVEN SNF OPERATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-995-1700
Mailing Address - Street 1:1515 HIGHWAY 107
Mailing Address - Street 2:
Mailing Address - City:CENTER PORT
Mailing Address - State:LA
Mailing Address - Zip Code:71323
Mailing Address - Country:US
Mailing Address - Phone:318-253-4601
Mailing Address - Fax:318-253-4668
Practice Address - Street 1:1515 HIGHWAY 107
Practice Address - Street 2:
Practice Address - City:CENTER PORT
Practice Address - State:LA
Practice Address - Zip Code:71323
Practice Address - Country:US
Practice Address - Phone:318-253-4601
Practice Address - Fax:318-253-4668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility