# OCEAN PARK

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

## Provider details

- **NPI number:** 1437317229
- **Authorized official:** DR. JITENDRA C PATEL MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (541) 469-6817

## Contact information

- **Practice address:** 984 PARKVIEW DR, BROOKINGS, OR 97415-9116
- **Practice address phone:** (541) 469-6817
- **Mailing address:** PO BOX 6988, BROOKINGS, OR 97415-0355
- **Mailing address phone:** (541) 469-6817
- **Mailing address fax:** (541) 469-3768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | 1062291-7 | OR | — |
| 311500000X | Alzheimer Center (Dementia Center) | 1062291-7 | OR | Yes |

## Other

- **Enumeration date:** 05/28/2008
- **Last updated:** 05/28/2008