# OAKTREE HOME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215561725
- **Authorized official:** MARIUS YAO AGBAM RN (RESIDENTIAL DIRECTOR)
- **Authorized official phone:** (302) 690-7071

## Contact information

- **Practice address:** 2825 AARON DR, CHESAPEAKE, VA 23323-2915
- **Practice address phone:** (757) 485-4100
- **Practice address fax:** (757) 485-4112
- **Mailing address:** 2825 AARON DR, CHESAPEAKE, VA 23323-2915
- **Mailing address phone:** (757) 485-4100
- **Mailing address fax:** (757) 485-4112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | — | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2020
- **Last updated:** 02/24/2020