GRAND LAKE VILLA LLC

GROVE, OK
NPI1740354893
Entity TypeOrganization
Authorized ContactMICHELINE NADER
Owner
918-786-2276
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: OK  NH 2102-2102)
Enumeration Date2006-11-20
Last Update Date2011-09-16
Business Address
GRAND LAKE VILLA LLC
103 W 13TH ST
GROVE, OK 74344-3224
Phone number: 918-786-2276
Mailing Address
GRAND LAKE VILLA LLC
103 W 13TH ST
GROVE, OK 74344-3224
Phone number: 918-786-2276