Crestpark Dewitt, LLC

Skilled Nursing Facility · De Witt, AR

Organization Active NPI

NPI number 1528213642

Practice location

1325 Liberty Dr
De Witt, AR 72042-3430
Phone
(870) 946-3569
Fax
(870) 946-0699

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NPI record

NPI
1528213642
Entity type
Organization (Type 2)
Enumeration date
November 18, 2008
Last updated
November 18, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X 637 AR

Mailing address

PO Box 589
De Witt, AR 72042-0589
Phone
(870) 946-3569
Fax
(870) 946-0699

Authorized official

Name
Mrs. Melisha Dilks
Title
Manager
Phone
(870) 821-0144

About Crestpark Dewitt, LLC

Crestpark Dewitt, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 1325 Liberty Dr, De Witt, AR 72042-3430. The NPI number 1528213642 was assigned on November 18, 2008 and the record was last updated on November 18, 2008.

Crestpark Dewitt, LLC lists a license in the registry: #637 (AR) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Melisha Dilks, Manager.

Frequently asked questions

What is the NPI number of Crestpark Dewitt, LLC?

The NPI number is 1528213642.

What is the phone number of Crestpark Dewitt, LLC?

The phone number listed for the practice location is (870) 946-3569.

Where is Crestpark Dewitt, LLC located?

1325 Liberty Dr, De Witt, AR 72042-3430.

What is the taxonomy code for Crestpark Dewitt, LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.