| NPI | 1043853724 |
|---|---|
| Doing Business As | CRESTWOOD ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Treasurer 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |