Oak Grove Retirement Home, Inc.
NPI #1942318118 in Duncan, Mississippi
Provider Information
- NPI Number
- 1942318118
- Entity Type
- Organization
- Organization Name
- Oak Grove Retirement Home, Inc.
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Aug 28, 2006
- Last Updated
- Oct 7, 2008
Practice Location
- Address
- 200 OAK CIRCLE
- Address 2
- N/A
- City
- Duncan
- State
- Mississippi
- ZIP Code
- 38740
- Phone
- (662) 395-2577
Authorized Official
- Name
- MR. CHARLES E SMITH I, LNHA
- Title
- ADMENISTRATOR
- Phone
- (662) 395-2577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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