| NPI | 1255778312 |
|---|---|
| Doing Business As | CRESTWOOD MANOR |
| Entity Type | Organization |
| Authorized Contact | MILLICENT MARIE MILLER-CLARKE Owner 813-215-5156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL7293) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |