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Organization
PF CRYSTAL PARK SNF OPS, LLC
Active
Organization
PF CRYSTAL PARK SNF OPS, LLC
Active
Other names
Accel at Crystal Park
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M CHANCE (PRESIDENT & CEO)
(214) 725-2837
Entity
Organization
Contact information
Practice address
315 SW 80TH STREET, OKLAHOMA CITY, OK 73139
(972) 899-4401
Mailing address
1500 WATERS RIDGE DR STE 100, LEWISVILLE, TX 75057-6056
(214) 725-2837
(469) 312-3796
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37-5570
MEDICARE
—
01
—
NH5578-5578
SKILLED NURSING LICENSE
OK
Enumeration date
05/02/2016
Last updated
05/27/2022
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