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Grand Lake Villa Llc
Skilled Nursing Facility in Grove, Oklahoma
NPI 1740354893

Grand Lake Villa Llc is a Skilled Nursing Facility based in Grove, OK. Grand Lake Villa Llc practices in Grove, OK. The NPI Number for Grand Lake Villa Llc is 1740354893 and holds a License No. NH 2102-2102 (Oklahoma).

The current practice location address for Grand Lake Villa Llc is 103 W 13Th St, Grove, OK and can be reached out via phone at 918-786-2276.

Location: 103 W 13Th St, Grove, OK, 74344-3224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740354893
Provider Name
Grand Lake Villa Llc
Credential
Provider Entity Type
Organization
Address
103 W 13Th St, Grove, OK, 74344-3224
Phone Number
918-786-2276
Fax Number
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200059540A 05 OK
institution
Provider Business Practice Location Address Details
Address
103 W 13Th St
City
Grove
State
Oklahoma
Zip
74344-3224
Phone Number
918-786-2276
Fax Number
person
Provider Business Mailing Address Details
Address
103 W 13Th St
City
Grove
State
Oklahoma
Zip
74344-3224
Phone Number
918-786-2276
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
NH 2102-2102 (Oklahoma)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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