Organization · Type 2 NPI

Crescent Manor Inc.

Nursing Facility/Intermediate Care Facility · Crescent, OK

NPI number 1205824463 Active

Practice location

208 E Sanderson St
Crescent, OK 73028-9027

Fax (405) 969-2327

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000XNH4202-4202 (OK)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1205824463

Crescent Manor Inc.'s National Provider Identifier is 1205824463, issued on Oct 12, 2005. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Crescent, OK. The record was last updated on Jan 24, 2017.