Organization
OAK HEALTH CARE INVESTORS OF MASSILLON, INC.
Active
Other names
THE LAURELS OF MASSILLON
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PATTON (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
2000 SHERMAN CIR NE, MASSILLON, OH 44646-5219
(330) 830-9988
(330) 830-0039
Mailing address
2000 SHERMAN CIR NE, MASSILLON, OH 44646-5219
(330) 830-9988
(330) 830-0039
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
5162
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000157450
BC/BS #
OH
05
—
0283787
—
OH
01
—
5162
NH LICENSE #
OH
01
—
7102005
UNITED HEALTH CARE ID #
OH
Enumeration date
10/20/2006
Last updated
10/05/2007
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