Organization
GROVE DEVELOPMENT OPERATIONS LLC
Active
Other names
Wedgewood Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VANCE EARL FAGER (OWNER)
(208) 371-0158
Entity
Organization
Contact information
Practice address
17996 BUSINESS 13, REEDS SPRING, MO 65737-9663
(417) 272-6666
Mailing address
16404 NE 127TH ST, KEARNEY, MO 64060-8969
(208) 371-0158
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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