Organization
OAKWOOD HEALTH CARE CENTER LTD. CO
Active
Other names
Oakwood Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN UNDERHILL (CHIEF EXECUTIVE)
(214) 954-4114
Entity
Organization
Contact information
Practice address
225 S MAIN ST, VIDOR, TX 77662-9256
(409) 769-3692
(409) 769-1390
Mailing address
2537 GOLDEN BEAR DR, CARROLLTON, TX 75006-2377
(214) 954-4114
(214) 871-3057
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
109654
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000475304
—
TX
05
—
022631801
—
TX
05
—
155313301
—
TX
01
—
H249S
BLUE CROSS
TX
Enumeration date
09/22/2005
Last updated
09/16/2008
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