# MSPF II CROWLEY OE, L.P.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crowley Nursing & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427229988
- **Authorized official:** MR. DAVID RONCK (MANAGING MEMBER)
- **Authorized official phone:** (241) 651-4050

## Contact information

- **Practice address:** 920 EAST FM 1187, CROWLEY, TX 76036
- **Practice address phone:** (817) 297-5600
- **Practice address fax:** (817) 297-9613
- **Mailing address:** 3811 TURTLE CREEK BLVD, SUITE \#1850, DALLAS, TX 75219-4402
- **Mailing address phone:** (214) 651-4050
- **Mailing address fax:** (214) 651-4001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 122416 | TX | Yes |

## Other

- **Enumeration date:** 03/12/2008
- **Last updated:** 03/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1015354 | — | TX |
| 01 | — | 5515 | MEDICAID VENDOR \# | TX |