| NPI | 1003801341 |
|---|---|
| Doing Business As | CRESTVIEW MANOR NURSING & REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | KEVIN B POUND Regional Director 228-861-7598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WV 84) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2011-10-18 |