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Crestridge Llc
Nursing Facility/Intermediate Care Facility in Watonga, Oklahoma
NPI 1639262702

Crestridge Llc is a Nursing Facility/Intermediate Care Facility based in Okeene, OK. Crestridge Llc practices in Watonga, OK. The NPI Number for Crestridge Llc is 1639262702 and holds a License No. NH0603-0603 (Oklahoma).

The current practice location address for Crestridge Llc is 816 N Clarence Nash Blvd, Watonga, OK and can be reached out via phone at 580-623-7249 and via fax at 580-623-7245.

Location: 816 N Clarence Nash Blvd, Watonga, OK, 73763-0727
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639262702
Provider Name
Crestridge Llc
Credential
Provider Entity Type
Organization
Address
816 N Clarence Nash Blvd, Watonga, OK, 73763-0727
Phone Number
580-623-7249
Fax Number
580-623-7245
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
816 N Clarence Nash Blvd
City
Watonga
State
Oklahoma
Zip
73772-2024
Phone Number
580-623-7249
Fax Number
580-623-7245
person
Provider Business Mailing Address Details
Address
816 N Clarence Nash Blvd
City
Watonga
State
Oklahoma
Zip
73772-2024
Phone Number
580-623-7249
Fax Number
580-623-7245
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
NH0603-0603 (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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