| NPI | 1982371233 |
|---|---|
| Doing Business As | OAK GROVE ALF |
| Entity Type | Organization |
| Authorized Contact | JASON PETERSEN Owner 720-244-9712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |