Healthcare Provider Details

I. General information

NPI: 1639245467
Provider Name (Legal Business Name): OAKHURST LIVING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 03/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40131 HIGHWAY 49
OAKHURST CA
93644-9560
US

IV. Provider business mailing address

35680 WISH I AH RD
AUBERRY CA
93602-9615
US

V. Phone/Fax

Practice location:
  • Phone: 559-683-2244
  • Fax: 559-683-0220
Mailing address:
  • Phone: 559-855-2211
  • Fax: 559-855-6590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. JOHN ELLSWORTH HARSHMAN III
Title or Position: VICE PRESIDENT
Credential:
Phone: 559-855-2211