Oak Grove Street Operating LLC
NPI #1508441460 in Mountain View, Arkansas
Provider Information
- NPI Number
- 1508441460
- Entity Type
- Organization
- Organization Name
- Oak Grove Street Operating LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 12, 2021
- Last Updated
- Dec 17, 2021
Practice Location
- Address
- 706 OAK GROVE ST
- City
- Mountain View
- State
- Arkansas
- ZIP Code
- 72560-8601
- Phone
- (870) 269-5845
Authorized Official
- Name
- YISROEL GANZ
- Title
- DIRECTOR
- Phone
- (848) 210-2175
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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