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Organization

PHOENIX HEALTHCARE LLC

Active
Parent organization
PHOENIX HEALTHCARE LLC
Other names
Grove Nursing Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHOENIX HEALTHCARE LLC
Authorized official
MR. LES TALLMAN (ADMINISTRATOR)
(918) 786-3223
Entity
Organization

Contact information

Practice address
1503 HAR-BER RD, GROVE, OK 74344-3525
(918) 786-3223
(918) 786-2664
Mailing address
1503 W HAR-BER RD, GROVE, OK 74344
(918) 786-3223
(918) 786-2664

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH2106-2106
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200040930F
OK
Enumeration date
08/16/2006
Last updated
05/14/2026
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