Healthcare Provider Details

I. General information

NPI: 1679710719
Provider Name (Legal Business Name): TWIN OAKS REHABILITATION & NURSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2009
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

897 N M ST
TULARE CA
93274-2017
US

IV. Provider business mailing address

897 N M ST
TULARE CA
93274-2017
US

V. Phone/Fax

Practice location:
  • Phone: 559-687-1340
  • Fax:
Mailing address:
  • Phone: 559-687-1340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KENSETT J MOYLE IV
Title or Position: CEO
Credential:
Phone: 559-688-0288