Organization
CRESCENT CITIES SNF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL BIRNBAUM (MANAGER)
(917) 685-8278
Entity
Organization
Contact information
Practice address
4409 E WEST HWY, RIVERDALE, MD 20737-1058
(301) 699-2000
Mailing address
4409 E WEST HWY, RIVERDALE, MD 20737-1058
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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