# SPRING OAK KATHWOOD LLC

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

## Provider details

- **NPI number:** 1780451468
- **Authorized official:** JESSICA OLIVIER (EXECUTIVE ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (732) 719-8125

## Contact information

- **Practice address:** 4520 TRENHOLM RD, COLUMBIA, SC 29206-4425
- **Practice address phone:** (803) 602-6845
- **Mailing address:** 1514 ROUTE 138, WALL TOWNSHIP, NJ 07719-3789
- **Mailing address phone:** (732) 719-8688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2023
- **Last updated:** 02/15/2024
