| NPI | 1841909694 |
|---|---|
| Doing Business As | CRYSTAL OAKS |
| Entity Type | Organization |
| Authorized Contact | SHAFIQ MALIK President 573-335-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |