Organization · Type 2 NPI

Crestwood SCC LLC

Assisted Living Facility · Wills Point, TX

NPI number 1568607372 Active

Practice location

1440 Houston St
Wills Point, TX 75169-3135

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
Assisted Living Facility Primary	310400000X	None listed

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.

2 other providers at this address

Other assisted living facility providers in Wills Point

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NPI record

NPI: 1568607372
Entity type: Organization (Type 2)
Issued: Dec 8, 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 1568607372

Crestwood SCC LLC's National Provider Identifier is 1568607372, issued on Dec 8, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Wills Point, TX. The record was last updated on Mar 5, 2020.