Healthcare Provider Details
I. General information
NPI: 1114055035
Provider Name (Legal Business Name): OAKVIEW INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/01/2007
Last Update Date: 08/22/2020
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
- Phone: 641-366-2212
- Fax: 641-366-2063
- Phone: 641-366-2212
- Fax: 641-366-2063
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332U00000X |
| Taxonomy | Home Delivered Meals |
| License Number | N-345 |
| License Number State | IA |
VIII. Authorized Official
Name:
JANICE
TRANBARGER
Title or Position: PRESIDENT
Credential:
Phone: 641-366-2212