Organization
IDABEL HEALTH & REHABILITATION CENTER, LLC
Active
Other names
Oak Grove Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM E. DAVES JR. (MANAGING MEMBER & PRESIDENT)
(580) 286-2537
Entity
Organization
Contact information
Practice address
HIGHWAY 259 SOUTH, IDABEL, OK 74745
(580) 286-2537
(580) 286-5480
Mailing address
PO BOX 299, IDABEL, OK 74745-0299
(580) 286-2537
(580) 286-5480
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH4505-4505
OK
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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