# PF CRYSTAL PARK SNF OPS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Accel at Crystal Park
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689029266
- **Authorized official:** JAMES M CHANCE (PRESIDENT & CEO)
- **Authorized official phone:** (214) 725-2837

## Contact information

- **Practice address:** 315 SW 80TH STREET, OKLAHOMA CITY, OK 73139
- **Practice address phone:** (972) 899-4401
- **Mailing address:** 1500 WATERS RIDGE DR STE 100, LEWISVILLE, TX 75057-6056
- **Mailing address phone:** (214) 725-2837
- **Mailing address fax:** (469) 312-3796

## Taxonomy

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

## Other

- **Enumeration date:** 05/02/2016
- **Last updated:** 05/27/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 37-5570 | MEDICARE | — |
| 01 | — | NH5578-5578 | SKILLED NURSING LICENSE | OK |