Healthcare Provider Details

I. General information

NPI: 1336292754
Provider Name (Legal Business Name): OAHE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 06/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 W PLEASANT DR SUITE #1
PIERRE SD
57501-2403
US

IV. Provider business mailing address

125 W PLEASANT DR SUITE #1
PIERRE SD
57501-2403
US

V. Phone/Fax

Practice location:
  • Phone: 605-224-4501
  • Fax: 605-224-9619
Mailing address:
  • Phone: 605-224-4501
  • Fax: 605-224-9619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateSD

VIII. Authorized Official

Name: MR. BRETT ALAN WHITE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 605-224-4501