Oak Grove Retirement Opco LLC

Practice location

Address

209 Oak Cir, Duncan, MS 38740-5520

Phone

(662) 395-2577

Fax

(662) 395-2576

Mailing address

PO Box 8250, Searcy, AR 72145-8250

Authorised official

Name

Ethan Dreifus

Title

Authorized Signatory

Phone

(501) 961-8100

Registered specialties

Registry record

NPI

1811634157

Entity type

Organization

NPI issued

18 May 2022

Record last updated

9 Aug 2023

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.