| NPI | 1811634157 |
|---|---|
| Doing Business As | OAK GROVE RETIREMENT HOME |
| Entity Type | Organization |
| Authorized Contact | ETHAN DREIFUS Authorized Signatory 501-961-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2023-08-09 |