NPI | 1568607372 |
---|---|
Doing Business As | FREE STATE CRESTWOOD |
Entity Type | Organization |
Authorized Contact | MICHAEL BEAL Chief Executive Officer 214-252-7600 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2008-12-08 |
Last Update Date | 2020-03-05 |