| NPI | 1144390964 |
|---|---|
| Doing Business As | CRESTWOOD MANOR |
| Entity Type | Organization |
| Authorized Contact | MICHELLE SMITH Executive Director Ar And Reimb. 209-955-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X (Licence: CA 110000044) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-11-30 |