Organization
OAKTREE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIUS YAO AGBAM RN (RESIDENTIAL DIRECTOR)
(302) 690-7071
Entity
Organization
Contact information
Practice address
2825 AARON DR, CHESAPEAKE, VA 23323-2915
(757) 485-4100
(757) 485-4112
Mailing address
2825 AARON DR, CHESAPEAKE, VA 23323-2915
(757) 485-4100
(757) 485-4112
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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