Healthcare Provider Details

I. General information

NPI: 1326049735
Provider Name (Legal Business Name): ALLEN OAKS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 E 6TH AVE
OAKDALE LA
71463-4101
US

IV. Provider business mailing address

909 E 6TH AVE
OAKDALE LA
71463-4101
US

V. Phone/Fax

Practice location:
  • Phone: 318-335-1469
  • Fax: 318-335-9573
Mailing address:
  • Phone: 318-335-1469
  • Fax: 318-335-9573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number835
License Number StateLA

VIII. Authorized Official

Name: MS. PATRICIA A HUDGENS
Title or Position: MANAGING MEMBER
Credential:
Phone: 318-443-9614