Organization
FOUR OAKS HEALTH CARE SERVICES LLC
Active
Other names
Four Oaks Health Care Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
UCHENNA JUNIOR RICHARDS OWNER (OWNER)
(336) 478-7444
Entity
Organization
Contact information
Practice address
3300 COUNTY ROAD 10 STE 512A, BROOKLYN CENTER, MN 55429-3068
(336) 478-7444
Mailing address
3300 COUNTY ROAD 10 STE 512A, BROOKLYN CENTER, MN 55429-3068
(336) 478-7444
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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