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Crescent Manor Inc.
Nursing Facility/Intermediate Care Facility in Crescent, Oklahoma
NPI 1205824463

Crescent Manor Inc. is a Nursing Facility/Intermediate Care Facility based in Crescent, OK. Crescent Manor Inc. practices in Crescent, OK. The NPI Number for Crescent Manor Inc. is 1205824463 and holds a License No. NH4202-4202 (Oklahoma).

The current practice location address for Crescent Manor Inc. is 208 E Sanderson St, Crescent, OK and can be reached out via phone at 405-696-2698 and via fax at 405-969-2327.

Location: 208 E Sanderson St, Crescent, OK, 73028-9027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205824463
Provider Name
Crescent Manor Inc.
Credential
Provider Entity Type
Organization
Address
208 E Sanderson St, Crescent, OK, 73028-9027
Phone Number
405-696-2698
Fax Number
405-969-2327
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000375480001 01 OK BLUE CROSS BLUE SHIELD OK
200055460A 05 OK
institution
Provider Business Practice Location Address Details
Address
208 E Sanderson St
City
Crescent
State
Oklahoma
Zip
73028-9027
Phone Number
405-696-2698
Fax Number
405-969-2327
person
Provider Business Mailing Address Details
Address
208 E Sanderson St
City
Crescent
State
Oklahoma
Zip
73028-9027
Phone Number
405-696-2698
Fax Number
405-969-2327
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
NH4202-4202 (Oklahoma)
Definition
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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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