Organization
OAK SENIOR CARE, LLC
Active
Other names
The Oaks Manor
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIJO EISBRENNER PHD, CNA (DIRECTOR)
(941) 799-1552
Entity
Organization
Contact information
Practice address
111 S WALNUT ST, OAKLAND, IL 61943-7232
(217) 346-2042
(217) 346-2046
Mailing address
PO BOX 974, OAKLAND, IL 61943-0974
(217) 346-2042
(217) 346-2046
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201964
IDPH STATE ASSISTED LIVING LICENSE
IL
Enumeration date
11/02/2020
Last updated
11/02/2020
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