# CL OPERATING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crystal Lake Rehabilitation and Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518436856
- **Authorized official:** SAM STERN (CFO)
- **Authorized official phone:** (877) 567-0402

## Contact information

- **Practice address:** 999 S MAIN ST, PASCOAG, RI 02859-3522
- **Practice address phone:** (877) 567-0402
- **Mailing address:** 14C 53RD ST STE 224N, BROOKLYN, NY 11232-2644
- **Mailing address phone:** (877) 567-0402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 11/15/2018
- **Last updated:** 11/15/2018