Healthcare Provider Details

I. General information

NPI: 1871508689
Provider Name (Legal Business Name): BEEGHLY OAKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6505 MARKET ST BUILDING D
YOUNGSTOWN OH
44512-3457
US

IV. Provider business mailing address

6505 MARKET ST BUILDING D
YOUNGSTOWN OH
44512-3457
US

V. Phone/Fax

Practice location:
  • Phone: 330-884-2300
  • Fax: 330-726-0182
Mailing address:
  • Phone: 330-884-2300
  • Fax: 330-726-0182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number4118
License Number StateOH

VIII. Authorized Official

Name: MR. MICHAEL H. COX
Title or Position: COO FORUM HEALTH SERVICES
Credential: PHD
Phone: 330-884-1066