# OAK GROVE NURSING HOME INC

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

## Provider details

- **NPI number:** 1508973280
- **Authorized official:** DAN D FELLS (ADMINISTRATOR)
- **Authorized official phone:** (409) 963-1266

## Contact information

- **Practice address:** 6230 WARREN ST, GROVES, TX 77619-4214
- **Practice address phone:** (409) 963-1266
- **Practice address fax:** (409) 962-9622
- **Mailing address:** 6230 WARREN ST, GROVES, TX 77619-4214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 5906 | TX | — |
| 314000000X | Skilled Nursing Facility | 509601 | TX | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 08/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000509601 | — | TX |