# THE OAKS -BREVARD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Oaks - Brevard
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598704504
- **Authorized official:** NEIL L. PRUITT JR. (CHAIRMAN AND CEO OF MANAGER)
- **Authorized official phone:** (770) 279-6200

## Contact information

- **Practice address:** 300 MORRIS RD, BREVARD, NC 28712-0000
- **Practice address phone:** (828) 877-4020
- **Practice address fax:** (828) 877-3858
- **Mailing address:** 1626 JEURGENS CT, NORCROSS, GA 30093-2219
- **Mailing address phone:** (770) 279-6200
- **Mailing address fax:** (770) 931-5278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0563 | NC | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 03/23/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3405462 | — | NC |
| 05 | — | 340608R | — | NC |
| 05 | — | 7802335 | — | NC |
