Organization
PF CRYSTAL PARK SNF OPS, LLC
Active
Other names
Accel at Crystal Park
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M CHANCE (PRESIDENT & CEO)
(214) 725-2837
Entity
Organization
Contact information
Practice address
315 SW 80TH STREET, OKLAHOMA CITY, OK 73139
(972) 899-4401
Mailing address
1500 WATERS RIDGE DR STE 100, LEWISVILLE, TX 75057-6056
(214) 725-2837
(469) 312-3796
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37-5570
MEDICARE
—
01
—
NH5578-5578
SKILLED NURSING LICENSE
OK
Enumeration date
05/02/2016
Last updated
05/27/2022
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