# OAK GROVE MANOR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295519031
- **Authorized official:** ELLEE POSNER (OPERATIONS MANAGER)
- **Authorized official phone:** (818) 433-1696

## Contact information

- **Practice address:** 3148 ARDEN AVE, SAN BERNARDINO, CA 92404-3506
- **Practice address phone:** (818) 433-1696
- **Mailing address:** 3148 ARDEN AVE, SAN BERNARDINO, CA 92404-3506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2023
- **Last updated:** 08/22/2023