Organization
SEVEN OAKS NURSING HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE HALLSTED (MANAGER)
(832) 448-3700
Entity
Organization
Contact information
Practice address
1402 W ELM STREET, OLNEY, TX 76374-1610
(940) 564-5631
(940) 564-5172
Mailing address
1402 W ELM ST, OLNEY, TX 76374-1610
(940) 564-5631
(940) 564-5172
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
111376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000487002
—
TX
01
—
021479301
MEDICAID TPI
TX
Enumeration date
06/23/2006
Last updated
06/04/2013
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