Organization
CRYSTAL OAKS OF PINELLAS, LLC
Active
Other names
Crystal Oaks of Pinellas
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN D WOMACK (MANAGING MEMBER)
(828) 324-8898
Entity
Organization
Contact information
Practice address
6767 86TH AVENUE NORTH, PINELLAS PARK, FL 33782
(727) 548-5566
(727) 548-6644
Mailing address
PO BOX 3343, HICKORY, NC 28603-3343
(828) 324-8898
(828) 322-9598
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF130470981
FL
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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