| NPI | 1639262702 |
|---|---|
| Doing Business As | CRESTRIDGE PLACE |
| Entity Type | Organization |
| Authorized Contact | JAMES SIMS Owner 580-822-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH0603-0603) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |