Crestridge LLC

NPI #1639262702 in Watonga, Oklahoma

Provider Information

NPI Number
1639262702
Entity Type
Organization
Organization Name
Crestridge LLC
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Oct 2, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
816 N CLARENCE NASH BLVD
ZIP Code
73772-2024
Phone
(580) 623-7249

Authorized Official

Name
JAMES SIMS
Title
OWNER
Phone
(580) 822-4441

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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