Organization
OAK GROVE NURSING HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN D FELLS (ADMINISTRATOR)
(409) 963-1266
Entity
Organization
Contact information
Practice address
6230 WARREN ST, GROVES, TX 77619-4214
(409) 963-1266
(409) 962-9622
Mailing address
6230 WARREN ST, GROVES, TX 77619-4214
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
5906
TX
314000000X
Skilled Nursing Facility
Primary
509601
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000509601
—
TX
Enumeration date
08/25/2006
Last updated
08/12/2008
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