Provider Demographics
NPI:1982466736
Name:WASHINGTON OAK CARE PARTNERS, LLM
Entity Type:Organization
Organization Name:WASHINGTON OAK CARE PARTNERS, LLM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNEER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-956-4291
Mailing Address - Street 1:4324 MAPLESHADE LN STE 274
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-0044
Mailing Address - Country:US
Mailing Address - Phone:214-956-4291
Mailing Address - Fax:
Practice Address - Street 1:4324 MAPLESHADE LN STE 274
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-0044
Practice Address - Country:US
Practice Address - Phone:214-956-4291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care