NPI 1154628790
Oak Lake, LLC
Practice location
- Address
- 103 Har-Ber Rd, Grove, OK 74345-0547
- Phone
- (918) 786-2276
- Fax
- (918) 786-4526
- Mailing address
- 103 Har-Ber Road, Grove, OK 74345-0547
Authorised official
- Name
- Chris Brogdon
- Title
- Manager
- Phone
- (770) 650-8793
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1154628790
- Entity type
- Organization
- NPI issued
- 17 Feb 2011
- Record last updated
- 19 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.