Healthcare Provider Details

I. General information

NPI: 1356425300
Provider Name (Legal Business Name): OAKVIEW INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 E CENTER ST
CONRAD IA
50621-2013
US

IV. Provider business mailing address

511 E CENTER ST
CONRAD IA
50621-2013
US

V. Phone/Fax

Practice location:
  • Phone: 641-366-2212
  • Fax: 641-366-2063
Mailing address:
  • Phone: 641-366-2212
  • Fax: 641-366-2063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number380345
License Number StateIA

VIII. Authorized Official

Name: GARY E ENGLE
Title or Position: PRESIDENT
Credential:
Phone: 641-366-2212