MEDICARE: OAKLAND HEIGHTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	313M00000X	Nursing Facility/Intermediate Care Facility	084002	NE

General Provider Information

NPI Number	:	1801991153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAKLAND HEIGHTS

Provider Business Mailing Address
First Line	:	207 S ENGDAHL AVE
Second Line	:
City	:	OAKLAND
State	:	NE
Zip	:	68045-1419
Country	:	US
Telephone Number	:	402-685-5683
Fax Number	:	402-685-5684

Provider Business Practice Location Address
First Line	:	207 S ENGDAHL AVE
Second Line	:
City	:	OAKLAND
State	:	NE
Zip	:	68045-1419
Country	:	US
Telephone Number	:	402-685-5683
Fax Number	:	402-685-5684

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DAVID DEEMER
Credential	:
Telephone Number	:	402-685-5683

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	05/18/2015

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Directions to “OAKLAND HEIGHTS ” Practice Location

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