Organization
SENIOR CARE SERVICES
Active
Other names
Crestwood Assisted Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE LEWIS (VP/CFO)
(972) 303-9000
Entity
Organization
Contact information
Practice address
1448 HOUSTON ST, WILLS POINT, TX 75169-3120
(903) 873-5400
Mailing address
1413 EAST I 30 STE 7, GARLAND, TX 75043-4598
(972) 303-9000
(972) 303-9992
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
030034
TX
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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