| NPI | 1689241465 | 
|---|---|
| Doing Business As | OAKWOOD MANOR | 
| Entity Type | Organization | 
| Authorized Contact | TRINA CARPENTER Afc Owner Provider 616-286-1713  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251E00000X Home Health | 
| Enumeration Date | 2021-06-09 | 
| Last Update Date | 2021-06-09 |