Organization
OAK GROVE STREET OPERATING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YISROEL GANZ (DIRECTOR)
(848) 210-2175
Entity
Organization
Contact information
Practice address
706 OAK GROVE ST, MOUNTAIN VIEW, AR 72560-8601
(870) 269-5845
Mailing address
317 MONMOUTH AVE STE 201, LAKEWOOD, NJ 08701-3209
(848) 210-2175
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
12/17/2021
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