Healthcare Provider Details

I. General information

NPI: 1013306919
Provider Name (Legal Business Name): OAK HRC NEW CASTLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2015
Last Update Date: 01/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 BUENA VISTA DR
NEW CASTLE DE
19720-4660
US

IV. Provider business mailing address

32 BUENA VISTA DR
NEW CASTLE DE
19720-4660
US

V. Phone/Fax

Practice location:
  • Phone: 302-328-2580
  • Fax:
Mailing address:
  • Phone: 302-328-2580
  • 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: HOWARD JAFFE
Title or Position: OFFICER
Credential:
Phone: 215-346-6454