# OAKENDELL CORPORATION

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

## Provider details

- **NPI number:** 1922772144
- **Authorized official:** PAUL MERTENS (CEO)
- **Authorized official phone:** (209) 754-1249

## Contact information

- **Practice address:** 3585 HAWVER RD., SAN ANDREAS, CA 95249
- **Practice address phone:** (209) 754-1249
- **Practice address fax:** (209) 754-1087
- **Mailing address:** PO BOX 1144, SAN ANDREAS, CA 95249-1144
- **Mailing address phone:** (209) 754-1249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2021
- **Last updated:** 08/02/2021