Healthcare Provider Details

I. General information

NPI: 1881788909
Provider Name (Legal Business Name): OAK FACILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 WEBSTER STREET
OAKLAND CA
94606
US

IV. Provider business mailing address

3030 WEBSTER STREET
OAKLAND CA
94606
US

V. Phone/Fax

Practice location:
  • Phone: 510-451-3856
  • Fax: 510-451-0823
Mailing address:
  • Phone: 510-451-3856
  • Fax: 510-451-0823

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: MRS. MARGARET KANE
Title or Position: ADMINISTRATOR
Credential:
Phone: 510-451-3856