| NPI | 1316216179 |
|---|---|
| Doing Business As | THE CRESTVIEW |
| Entity Type | Organization |
| Authorized Contact | MELISSA CHRISTINE CREEKMORE Administrator 606-678-8927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KY 100370) |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |