Organization
CRYSTAL OAKS NURSING AND REHAB LLC
Active
Organization
CRYSTAL OAKS NURSING AND REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAFIQ MALIK (PRESIDENT)
(573) 335-3044
Entity
Organization
Contact information
Practice address
1500 CALVARY CHURCH ROAD, FESTUS, MO 63028-4125
(636) 933-1818
Mailing address
2215 BROADWAY ST, CAPE GIRARDEAU, MO 63701-4403
(573) 335-3044
(573) 335-6724
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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