| NPI | 1487276184 |
|---|---|
| Doing Business As | THE RESIDENCE AT OAK GROVE |
| Entity Type | Organization |
| Authorized Contact | RYAN PERSON Director Of Business Development 260-413-4159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |