Grand Lake Villa LLC
NPI #1740354893 in Grove, Oklahoma
Provider Information
- NPI Number
- 1740354893
- Entity Type
- Organization
- Organization Name
- Grand Lake Villa LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Sep 16, 2011
Practice Location
Authorized Official
- Name
- MICHELINE NADER
- Title
- OWNER
- Phone
- (918) 786-2276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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