GRAND LAKE VILLA LLC

Skilled Nursing Facility · GROVE, OK

Organization Active NPI 1740354893

Taxonomy & licensure

Specialty	Code	Primary	License	State
Skilled Nursing Facility	314000000X	✓	NH 2102-2102	OK

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.