Oak Grove Manor, Inc in Idabel - Nursing Facility/intermediate Care Facility
Oak Grove Manor, Inc - NPI 1891784070
Oak Grove Manor, Inc is a Nursing Facility/intermediate Care Facility in Idabel, Oklahoma. Oak Grove Manor, Inc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Oak Grove Manor, Inc is 1891784070. The last update date is 2008-02-25.
Oak Grove Manor, Inc's current location address is Po Box 299, Idabel, Oklahoma. You can contact this provider via phone number 5802862537 and fax number 5802865480. The mailing address for Oak Grove Manor, Inc is Po Box 299, Idabel, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Oak Grove Manor, Inc |
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Address | Po Box 299, Idabel, Oklahoma |
Phone Number | 5802862537 |
Fax Number | 5802865480 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ADMINISTRA |
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Authorized Official Name | Pebworth Dewayne Dewey |
Telephone Number | 5802862537 |
NPI Number Detail
NPI Number | 1891784070 |
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Provider Enumeration Date | 2005-10-19 |
Last Updated Date | 2008-02-25 |
Provider Mailing Address Detail
Address | Po Box 299 |
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City | Idabel |
State | Oklahoma (OK) |
Post Code | 747450299 |
Phone Number | 5802862537 |
Fax Number | 5802865480 |
Provider's Primary Taxonomy Detail
Speciality | Nursing Facility/intermediate Care Facility |
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Taxonomy | 313M00000X |
Licence No | NH4505-4505 |
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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What is the unique 10-digit identifier code issued to Oak Grove Manor, Inc by the Centers for Medicare & Medicaid Services?
The Oak Grove Manor, Inc has been assigned the NPI (National Provider Identifier) 1891784070 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Oak Grove Manor, Inc's physical address?
The Oak Grove Manor, Inc is physically located at Po Box 299, in the city of Idabel, OK, with the postal code 747450299.
What is the Oak Grove Manor, Inc's specialty and taxonomy code?
The Oak Grove Manor, Inc's specialty is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code is 313M00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891784070 to Oak Grove Manor, Inc?
The Oak Grove Manor, Inc received its 1891784070 assignment from the Centers for Medicare & Medicaid Services on 2005-10-19.
When was the Oak Grove Manor, Inc's information last updated?
The Oak Grove Manor, Inc's information was last updated on 2008-02-25.
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