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Organization

N & R OF OAK GROVE, LLC

Active
Other names
Oak Grove Nursing & Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS HUDSPETH (COO CFO)
(573) 392-0316
Entity
Organization

Contact information

Practice address
2108 SW MITCHELL ST, OAK GROVE, MO 64075-9472
(816) 690-4118
(816) 690-8680
Mailing address
2108 SW MITCHELL ST, OAK GROVE, MO 64075-9472
(816) 690-4118
(816) 690-8680

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031362
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17340799
STATE ID
MO
Enumeration date
09/22/2005
Last updated
08/22/2020
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