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Organization

OAK HEALTH CARE INVESTORS OF NORTH CAROLINA, INC.

Active
Other names
LAURELS OF FOREST GLENN
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY PATTON (CFO)
(614) 794-8800
Entity
Organization

Contact information

Practice address
1101 HARTWELL ST, GARNER, NC 27529-3675
(919) 772-8888
(919) 772-8436
Mailing address
1101 HARTWELL ST, GARNER, NC 27529-3675
(919) 772-8888
(919) 772-8436

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
NH0506
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0082M
BC/BS #
NC
05
345389
NC
01
7105588
UNITED HEALTH CARE ID #
NC
01
923173
FACILITY ID #
NC
01
NH0506
NH LICENSE #
NC
Enumeration date
10/06/2006
Last updated
10/05/2007
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