Organization
MSPF II CROWLEY OE, L.P.
Active
Other names
Crowley Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RONCK (MANAGING MEMBER)
(241) 651-4050
Entity
Organization
Contact information
Practice address
920 EAST FM 1187, CROWLEY, TX 76036
(817) 297-5600
(817) 297-9613
Mailing address
3811 TURTLE CREEK BLVD, SUITE #1850, DALLAS, TX 75219-4402
(214) 651-4050
(214) 651-4001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
122416
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015354
—
TX
01
—
5515
MEDICAID VENDOR #
TX
Enumeration date
03/12/2008
Last updated
03/12/2008
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