Oak Grove Family Care Home
NPI #1710161120 in Bladenboro, North Carolina
Provider Information
- NPI Number
- 1710161120
- Entity Type
- Organization
- Organization Name
- Oak Grove Family Care Home
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Dec 20, 2007
- Last Updated
- Dec 20, 2007
Practice Location
- Address
- 583 SASSAFRAS RD
- City
- Bladenboro
- State
- North Carolina
- ZIP Code
- 28320-5925
- Phone
- (910) 648-2176
Authorized Official
- Name
- EVELYN TODD
- Title
- OWNER
- Phone
- (910) 648-2176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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