| NPI | 1023016730 |
|---|---|
| Doing Business As | OAK TRACE |
| Entity Type | Organization |
| Authorized Contact | JODI HIRSCH SVP & General Counsel 515-288-5805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0017061) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2018-05-16 |