| NPI | 1245343706 |
|---|---|
| Doing Business As | CRESTVIEW CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BERG Assistant Secretary 505-468-4742 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100383) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2019-09-19 |