Oak Grove Manor, Inc
Oak Grove Manor, Inc is a Nursing Facility/Intermediate Care Facility in Idabel, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2005.
- Licensed in
- OK
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
Highway 259 SIdabel, OK 74745
Phone: (580) 286-2537
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence NH4505-4505 (OK) |
|---|---|
| Nursing Facility/Intermediate Care Facility | Taxonomy 313M00000X · Licence NH4505-4505 (OK) |
Record details
| NPI number | 1891784070 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dewey Pebworth — Administrator · (580) 286-2537 |
| NPI enumerated | October 19, 2005 |
| Last updated in NPPES | February 25, 2008 |
| Mailing address | Po Box 299, Idabel, OK 74745-0299 |