Oak Lake, LLC

NPI #1154628790 in Grove, Oklahoma

Provider Information

NPI Number
1154628790
Entity Type
Organization
Organization Name
Oak Lake, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 17, 2011
Last Updated
Jan 19, 2022

Practice Location

Address
103 HAR-BER RD
City
Grove
ZIP Code
74345-0547
Phone
(918) 786-2276

Authorized Official

Name
CHRIS BROGDON
Title
MANAGER
Phone
(770) 650-8793

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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