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NPI Code Detail

MEDICARE: OAK FACILITY INC

MEDICARE: OAK FACILITY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053450163
Entity Type Code : Organization
Provider Name (Legal Business Name) : OAK FACILITY INC
Provider Business Mailing Address
First Line : 330 30TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-3403
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3030 WEBSTER ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-3411
Country : US
Telephone Number : 510-451-3856
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JACK EASTERDAY
Credential :
Telephone Number : 510-899-7999
Provider Enumeration Date : 02/05/2007
Last Update Date : 11/20/2008

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Directions to “OAK FACILITY INC ” Practice Location

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