# BELLECREST LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hillcrest Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285736660
- **Authorized official:** MR. DAVID THOMPSON (SOLE MEMBER/MANGER)
- **Authorized official phone:** (405) 879-0102

## Contact information

- **Practice address:** 2120 N BROADWAY ST, MOORE, OK 73160-4408
- **Practice address phone:** (405) 794-2428
- **Practice address fax:** (405) 794-2253
- **Mailing address:** 2120 N BROADWAY ST, MOORE, OK 73160-4408
- **Mailing address phone:** (405) 794-2428
- **Mailing address fax:** (405) 794-2253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH1402 | OK | Yes |

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 08/22/2020