Organization
THE OAKS -BREVARD, LLC
Active
Other names
The Oaks - Brevard
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL L. PRUITT JR. (CHAIRMAN AND CEO OF MANAGER)
(770) 279-6200
Entity
Organization
Contact information
Practice address
300 MORRIS RD, BREVARD, NC 28712-0000
(828) 877-4020
(828) 877-3858
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
(770) 931-5278
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0563
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405462
—
NC
05
—
340608R
—
NC
05
—
7802335
—
NC
Enumeration date
06/05/2006
Last updated
03/23/2016
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