Organization
OAK HEALTH CARE INVESTORS OF MT. VERNON, INC.
Active
Other names
THE LAURELS OF MT. VERNON
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PATTON (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
13 AVALON RD, MOUNT VERNON, OH 43050-1403
(740) 397-3200
(740) 397-4326
Mailing address
13 AVALON RD, MOUNT VERNON, OH 43050-1403
(740) 397-3200
(740) 397-4326
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
5240
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000157631
BC/BS #
OH
01
—
5240
NH LICENSE #
OH
01
—
7105592
UNITED HEALTH CARE ID #
OH
05
—
994090
—
OH
Enumeration date
10/25/2006
Last updated
10/05/2007
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