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Organization
OAKWOOD HEALTH CARE CENTER LTD. CO
Active
Organization
OAKWOOD HEALTH CARE CENTER LTD. CO
Active
Other names
Oakwood Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN UNDERHILL (CHIEF EXECUTIVE)
(214) 954-4114
Entity
Organization
Contact information
Practice address
225 S MAIN ST, VIDOR, TX 77662-9256
(409) 769-3692
(409) 769-1390
Mailing address
2537 GOLDEN BEAR DR, CARROLLTON, TX 75006-2377
(214) 954-4114
(214) 871-3057
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
109654
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000475304
—
TX
05
—
022631801
—
TX
05
—
155313301
—
TX
01
—
H249S
BLUE CROSS
TX
Enumeration date
09/22/2005
Last updated
09/16/2008
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