Grove Development Operations LLC
Assisted Living Facility in Reeds Spring, MO. Organization (NPI-2).
NPI number1043088024
StatusActive
Last updated in NPPESDec 19, 2023
Details
- NPI
- 1043088024
- Entity type
- Organization (NPI-2)
- Legal business name
- Grove Development Operations LLC
- Organization subpart
- No
- Enumeration date
- Dec 19, 2023
- Certification date
- Dec 19, 2023
- Last updated
- Dec 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Wedgewood Gardens (Doing Business As)
Practice location
17996 Business 13Reeds Spring, MO 65737-9663
Phone 417-272-6666
Mailing address
16404 Ne 127th StKearney, MO 64060-8969
Phone 208-371-0158
Authorized official
Vance Earl Fager
Owner
2083710158
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