Oak Grove Manor, INC
NPI #1891784070 in Idabel, Oklahoma
Provider Information
- NPI Number
- 1891784070
- Entity Type
- Organization
- Organization Name
- Oak Grove Manor, INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 19, 2005
- Last Updated
- Feb 25, 2008
Practice Location
Authorized Official
- Name
- MR. DEWEY DEWAYNE PEBWORTH
- Title
- ADMINISTRATOR
- Phone
- (580) 286-2537
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Skilled Nursing Facility |
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