Organization
CROSSETT HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J (CAO)
(917) 410-5283
Entity
Organization
Contact information
Practice address
1101 WATERWELL RD, CROSSETT, AR 71635-4152
(870) 364-5721
Mailing address
150 OBERLIN AVE N STE 6, LAKEWOOD, NJ 08701-4535
(732) 800-6005
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/09/2022
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