Organization · Type 2 NPI

Crestwood SCC LLC

Skilled Nursing Facility · Wills Point, TX

NPI number 1154566818 Active

Practice location

1448 Houston St
Wills Point, TX 75169-3120

Call (903) 873-5400 Map

Fax (903) 873-4404

Mailing address

600 N Pearl St Ste 1050
Dallas, TX 75201-7495

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

6 other providers at this address

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NPI record

NPI: 1154566818
Entity type: Organization (Type 2)
Issued: Dec 10, 2008
Last updated: Mar 5, 2020
Status: Active

Other names

<unavail>
Free State Crestwood · doing business as
Free State Crestwood · doing business as

Authorized official

Michael Beal
Chief Executive Officer
(214) 252-7600

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154566818

Crestwood SCC LLC's National Provider Identifier is 1154566818, issued on Dec 10, 2008. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Wills Point, TX. The record was last updated on Mar 5, 2020.