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NPI Code Detail

MEDICARE: OAKWOOD HEALTHCARE LLC

MEDICARE: OAKWOOD HEALTHCARE LLC
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
1314000000XSkilled Nursing Facility011402PA

General Provider Information

NPI Number : 1952577371
Entity Type Code : Organization
Provider Name (Legal Business Name) : OAKWOOD HEALTHCARE LLC
Provider Business Mailing Address
First Line : 2109 RED LION RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-1711
Country : US
Telephone Number : 215-673-7000
Fax Number :
Provider Business Practice Location Address
First Line : 2109 RED LION RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-1711
Country : US
Telephone Number : 215-673-7000
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : MR. COLEV J GESTETNER
Credential :
Telephone Number : 215-673-7000
Provider Enumeration Date : 05/06/2008
Last Update Date : 05/06/2008

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Directions to “OAKWOOD HEALTHCARE LLC ” Practice Location

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