| Organization Name: | WHITE OAKS RETIREMENT RESIDENCE, INC |
| NPI Number: | 1003244773 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES RANDALL (OWNER) |
| Mailing Address: | 300 White Oak Rd Lawton |
| State: | MI US |
| Postal Code: | 490659541 |
| Phone Number: | 2696244811 |
| Fax Number: | |
| NPI Enumeration Date: | 10/16/2013 |
| NPI Last Update Date: | 10/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 311500000X |
| License Number: | AL800315839 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Alzheimer Center (Dementia Center) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |