| Organization Name: | FOUR OAKS INC |
| NPI Number: | 1093020380 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD B BEDELL (PRESIDENT) |
| Mailing Address: | 1615 W Business Us Highway 60 Suite A & B Dexter |
| State: | MO US |
| Postal Code: | 638412838 |
| Phone Number: | 5736243655 |
| Fax Number: | 5736244323 |
| NPI Enumeration Date: | 08/11/2010 |
| NPI Last Update Date: | 09/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 192-4HO |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |