# PHYLLIS RENE CRAFTON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124428776
- **Authorized official:** PHYLLIS RENE CRAFTON MSCCCSLP (SPEECH THERAPIST)
- **Authorized official phone:** (724) 321-4259

## Contact information

- **Practice address:** 104 APPLEWOOD LN, SLIPPERY ROCK, PA 16057-2903
- **Practice address phone:** (724) 321-4259
- **Mailing address:** 104 APPLEWOOD LN, SLIPPERY ROCK, PA 16057-2903
- **Mailing address phone:** (724) 321-4259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | SL004844L | PA | Yes |

## Other

- **Enumeration date:** 09/02/2014
- **Last updated:** 09/02/2014