Organization
CRYSTAL OAKS LONG TERM CARE
Active
Other names
Crystal Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES V ARNOLD JR. (PRESIDENT & CEO)
(636) 933-1897
Entity
Organization
Contact information
Practice address
1500 CALVARY CHURCH RD, FESTUS, MO 63028-4125
(636) 933-1818
(636) 933-1894
Mailing address
PO BOX 680, CRYSTAL CITY, MO 63019-0680
(636) 933-1818
(636) 933-1894
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
040114
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107808909
—
MO
Enumeration date
02/07/2007
Last updated
03/06/2014
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