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Organization

OAK RIDGE DISTINCTIVE SENIOR LIVING AND REHAB, LLC

Active
Parent organization
DISTINCTIVE SENIOR LIVING
Organization subpart
Yes

Provider details

NPI number
Legal business name
DISTINCTIVE SENIOR LIVING
Authorized official
MR. RODNEY FORTE (SENIOR MEMBER)
(618) 889-3778
Entity
Organization

Contact information

Practice address
501 HUDSON ST, EL DORADO, AR 71730-6573
(314) 536-2776
Mailing address
14615 MANCHESTER RD, MANCHESTER, MO 63011-3790
(314) 225-7788

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
109136311
AR
Enumeration date
09/09/2016
Last updated
09/09/2016
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