Organization
OAKLAND HEIGHTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES A PLEAK CNHA (ADMINISTRATOR)
(712) 482-3566
Entity
Organization
Contact information
Practice address
904 N SCENIC DR, OAKLAND, IA 51560-4070
(712) 482-3566
(712) 482-3609
Mailing address
PO BOX 459, OAKLAND, IA 51560-0459
(712) 482-3566
(712) 482-3609
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0070
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0745919
—
IA
Enumeration date
04/18/2007
Last updated
08/22/2020
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