| NPI | 1942318118 |
|---|---|
| Other Name | OAK GROVE RETIREMENT HOME |
| Entity Type | Organization |
| Authorized Contact | CHARLES E SMITH Admenistrator 662-395-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS 00023100) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2008-10-07 |