Healthcare Provider Details

I. General information

NPI: 1770334997
Provider Name (Legal Business Name): OXFORD PREPARATORY SCHOOL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2024
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6041B LANDIS RD
OXFORD NC
27565-7411
US

IV. Provider business mailing address

6041B LANDIS RD
OXFORD NC
27565-7411
US

V. Phone/Fax

Practice location:
  • Phone: 919-690-0360
  • Fax: 919-690-0230
Mailing address:
  • Phone: 919-690-0360
  • Fax: 919-690-0230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: ANDREW SWANNER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 919-690-0360