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OAK MANOR LLC NPI 1891735387


NPI Information

NPI: 1891735387
Provider Name: OAK MANOR LLC

Former Legal Business Name: OAK MANOR INC.

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
205 PEACH ORCHARD RD
BALDWIN, GA
ZIP 30511
Phone: (706) 778-6746
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OAK MANOR LLC is an adult care home custodial care facility in Baldwin, GA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. OAK MANOR LLC NPI is 1891735387. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Oak Manor Inc..

The provider's business location address is:

205 PEACH ORCHARD RD
BALDWIN, GA
ZIP 30511-803
Phone: (706) 778-6746

The provider's authorized official is Neil L Pruitt .
The authorized official title is Chairman And Ceo and has the following contact phone number (770) 279-6200.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 10/4/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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