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Organization
CL OPERATING LLC
Active
Organization
CL OPERATING LLC
Active
Other names
Crystal Lake Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAM STERN (CFO)
(877) 567-0402
Entity
Organization
Contact information
Practice address
999 S MAIN ST, PASCOAG, RI 02859-3522
(877) 567-0402
Mailing address
14C 53RD ST STE 224N, BROOKLYN, NY 11232-2644
(877) 567-0402
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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