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Organization

OAK GROVE RETIREMENT OPCO LLC

Active
Other names
Oak Grove Retirement Home
Organization subpart
No

Provider details

NPI number
Authorized official
ETHAN DREIFUS (AUTHORIZED SIGNATORY)
(501) 961-8100
Entity
Organization

Contact information

Practice address
209 OAK CIR, DUNCAN, MS 38740-5520
(662) 395-2577
(662) 395-2576
Mailing address
PO BOX 8250, SEARCY, AR 72145-8250
(501) 254-0007
(888) 866-9887

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary

Other

Enumeration date
05/18/2022
Last updated
08/09/2023
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