Organization
CRESCENT NURSING & REHABILITATION LLC
Active
Other names
Crescent Nursing & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD MONTGOMERY (MANAGING MEMBER)
(479) 715-6759
Entity
Organization
Contact information
Practice address
208 E SANDERSON ST, CRESCENT, OK 73028-9027
(405) 969-2698
(405) 969-2327
Mailing address
9 PROFESSIONAL DR, BELLA VISTA, AR 72715-8462
(479) 715-6759
(479) 715-6922
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH4202
OK
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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