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Usrc Grove Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Grove, Oklahoma
NPI 1649580564

Usrc Grove Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Jonesboro, OK and is specialized in End-Stage Renal Disease (ESRD) Treatment. Usrc Grove Llc practices in Grove, OK. The NPI Number for Usrc Grove Llc is 1649580564 and holds a License No. (Oklahoma).

The current practice location address for Usrc Grove Llc is 1200 Neo Loop, Grove, OK and can be reached out via phone at 918-787-2900 and via fax at 918-787-2908.

Location: 1200 Neo Loop, Grove, OK, 72403-6601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649580564
Provider Name
Usrc Grove Llc
Credential
Provider Entity Type
Organization
Address
1200 Neo Loop, Grove, OK, 72403-6601
Phone Number
918-787-2900
Fax Number
918-787-2908
Provider Enumeration Date
10/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200362550A 05 OK
institution
Provider Business Practice Location Address Details
Address
1200 Neo Loop
City
Grove
State
Oklahoma
Zip
74344
Phone Number
918-787-2900
Fax Number
918-787-2908
person
Provider Business Mailing Address Details
Address
1200 Neo Loop
City
Grove
State
Oklahoma
Zip
74344
Phone Number
918-787-2900
Fax Number
918-787-2908
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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