Oak Grove Manor, Inc

LBN: Oak Grove Manor, Inc
Oak Grove Manor, Inc is an health care organization with primary practice located at Highway 259 South , Idabel OK 74745. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Oak Grove Manor, Inc can be contacted via phone (580) 286-2537, or through Pebworth, Dewey Dewayne via phone (580) 286-2537.

Contact Information

Primary practice address
Highway 259 South Idabel OK 74745
Phone: (580) 286-2537
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pebworth, Dewey Dewayne
Phone: (580) 286-2537

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH4505-4505 Oklahoma
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH4505-4505 Oklahoma

Profile Details

NPI number 1891784070
LBN Legal business name Oak Grove Manor, Inc
DBA Doing business as
Authorized official Pebworth, Dewey Dewayne
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated Feb 25th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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