| NPI | 1245516194 |
|---|---|
| Doing Business As | CRESTVIEW MANOR NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | GORDON BONE Vice President 615-417-8131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WV 84) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |