Healthcare Provider Details

I. General information

NPI: 1447613484
Provider Name (Legal Business Name): NSL CRAWFORD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2016
Last Update Date: 07/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

273 OAK GROVE AVE
FALL RIVER MA
02723-2315
US

IV. Provider business mailing address

199 COMMUNITY DR
GREAT NECK NY
11021-5502
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-4866
  • Fax:
Mailing address:
  • Phone: 516-365-9229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: HAYLEY WILLIAMS
Title or Position: ATTORNEY
Credential:
Phone: 216-706-3936