Organization
CRESCENT MANOR INC.
Active
Other names
Crescent Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON MORGAN (CEO)
(479) 769-5535
Entity
Organization
Contact information
Practice address
208 E SANDERSON ST, CRESCENT, OK 73028-9027
(405) 696-2698
(405) 969-2327
Mailing address
208 E SANDERSON ST, CRESCENT, OK 73028-9027
(405) 696-2698
(405) 969-2327
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH4202-4202
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000375480001
BLUE CROSS BLUE SHIELD OK
OK
05
—
200055460A
—
OK
Enumeration date
10/12/2005
Last updated
01/24/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us