Healthcare Provider Details

I. General information

NPI: 1083929186
Provider Name (Legal Business Name): HIGHLAND OAKS HEALTH CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2010
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4114 N STATE ROUTE 376 NW
MCCONNELSVILLE OH
43756-9145
US

IV. Provider business mailing address

4114 N STATE ROUTE 376 NW
MCCONNELSVILLE OH
43756-9145
US

V. Phone/Fax

Practice location:
  • Phone: 740-962-3761
  • Fax: 740-962-3001
Mailing address:
  • Phone: 740-962-3761
  • Fax: 740-962-3001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. AHRON LIEBERMAN
Title or Position: MANAGER
Credential:
Phone: 740-206-9059