Oak Grove Manor, Inc in Idabel - Skilled Nursing Facility
Oak Grove Manor, Inc - NPI 1891784070
Oak Grove Manor, Inc is a Skilled Nursing Facility in Idabel, Oklahoma. Oak Grove Manor, Inc practices all healthcare services and medical treatments related to Skilled Nursing 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 |
|---|---|
| Address | Po Box 299, Idabel, Oklahoma |
| Phone Number | 5802862537 |
| Fax Number | 5802865480 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Pebworth Dewayne Dewey |
| Telephone Number | 5802862537 |
NPI Number Detail
| NPI Number | 1891784070 |
|---|---|
| Provider Enumeration Date | 2005-10-19 |
| Last Updated Date | 2008-02-25 |
Provider Mailing Address Detail
| Address | Po Box 299 |
|---|---|
| City | Idabel |
| State | Oklahoma (OK) |
| Post Code | 747450299 |
| Phone Number | 5802862537 |
| Fax Number | 5802865480 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | NH4505-4505 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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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 Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
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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