Organization
CRYSTAL FALLS HEALTH & REHAB CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE PERRON (REGIONAL BUSINESS OFFICE MANAGER)
(501) 888-4200
Entity
Organization
Contact information
Practice address
1206 W COLLIN RAYE DR, DE QUEEN, AR 71832-2030
(870) 642-3317
(870) 642-3377
Mailing address
1206 W COLLIN RAYE DR, DE QUEEN, AR 71832-2030
(870) 642-3317
(870) 642-3377
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
864
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168533311
—
AR
Enumeration date
08/07/2008
Last updated
08/07/2008
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