Organization
CRYSTAL REHAB & NURSING LLC
Active
Other names
Brookside Rehabilitation and Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHIMMY LEIBES (MEMEBR)
(516) 588-8811
Entity
Organization
Contact information
Practice address
11 PONTIAC AVE, WEBSTER, MA 01570-1629
(508) 943-3889
Mailing address
11 PONTIAC AVE, WEBSTER, MA 01570-1629
(508) 943-3889
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
12/14/2020
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