Healthcare Provider Details

I. General information

NPI: 1255530648
Provider Name (Legal Business Name): OAKWOOD HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2007
Last Update Date: 10/12/2021
Certification Date: 10/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 TELEGRAPH RD
TAYLOR MI
48180-3330
US

IV. Provider business mailing address

26901 BEAUMONT BLVD. COMPLIANCE
SOUTHFIELD MI
48033-4716
US

V. Phone/Fax

Practice location:
  • Phone: 313-295-5000
  • Fax: 313-791-4663
Mailing address:
  • Phone: 947-522-1963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number820250
License Number StateMI

VIII. Authorized Official

Name: LEE ANN ODOM
Title or Position: PRESIDENT SHARED SERVICES
Credential:
Phone: 947-522-3326