Healthcare Provider Details

I. General information

NPI: 1346253937
Provider Name (Legal Business Name): OAKWOOD HEALTH CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 04/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BASSETT RD
WILLIAMSVILLE NY
14221-2639
US

IV. Provider business mailing address

1142 WEHRLE DR
WILLIAMSVILLE NY
14221-7748
US

V. Phone/Fax

Practice location:
  • Phone: 716-689-6681
  • Fax: 716-631-8732
Mailing address:
  • Phone: 716-631-3381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number025214
License Number StateNY

VIII. Authorized Official

Name: MARK LUDWIG
Title or Position: DIR
Credential:
Phone: 716-631-3381