37D2198900 CLIA NUMBER - GRANDWOOD ASSISTED LIVING

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Laboratory Demographics

CLIA Number: 37D2198900

Facility Name: GRANDWOOD ASSISTED LIVING

Facility Address:
2001 SUNRISE BLVD
GROVE, OK
ZIP 74344
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Facility Phone Number: 918 787-2011

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1629335773

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	37D2198900
LAB Type	Assisted Living Facility
Facility Name	GRANDWOOD ASSISTED LIVING
Street	2001 SUNRISE BLVD
City	GROVE
State	OK
ZIP	74344
Phone	918 787-2011
CertificateType	4
CertificateEffectiveDate	11/4/2022
CertificateExpirationDate	11/3/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024