Oak Grove Manor Operating Company LLC
NPI #1174149504 in Mansfield, Ohio
Provider Information
- NPI Number
- 1174149504
- Entity Type
- Organization
- Organization Name
- Oak Grove Manor Operating Company LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 22, 2020
- Last Updated
- Dec 17, 2024
Practice Location
Authorized Official
- Name
- MR. JEFFREY DEGYANSKY, LNHA
- Title
- VICE PRESIDENT OF OPERATIONS
- Phone
- (330) 620-7828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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