Healthcare Provider Details

I. General information

NPI: 1770648081
Provider Name (Legal Business Name): OAKWOOD HEALTH CARE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 11/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24579 BROADWAY AVE
OAKWOOD VILLAGE OH
44146-6338
US

IV. Provider business mailing address

24613 BROADWAY AVENUE
OAKWOOD VILLAGE OH
44146-6338
US

V. Phone/Fax

Practice location:
  • Phone: 440-439-7976
  • Fax: 440-232-7113
Mailing address:
  • Phone: 440-439-7976
  • Fax: 440-232-7113

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. DARLA PERKINS
Title or Position: EXECUTIVE DIRECTOR
Credential: ADMINISTRATOR
Phone: 440-439-7976