Organization
CRYSTAL OAKS NURSING AND REHAB LLC
Active
Other names
CRYSTAL OAKS
Organization subpart
No
Provider details
NPI number
Authorized official
SHAFIQ MALIK (PRESIDENT)
(573) 335-3044
Entity
Organization
Contact information
Practice address
1500 CALVARY CHURCH ROAD, FESTUS, MO 63028-4125
(636) 933-1818
Mailing address
2215 BROADWAY ST, CAPE GIRARDEAU, MO 63701-4403
(573) 335-3044
(573) 335-6724
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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