Organization
OAKENDELL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MERTENS (CEO)
(209) 754-1249
Entity
Organization
Contact information
Practice address
3585 HAWVER RD., SAN ANDREAS, CA 95249
(209) 754-1249
(209) 754-1087
Mailing address
PO BOX 1144, SAN ANDREAS, CA 95249-1144
(209) 754-1249
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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