NPI | 1336151547 |
---|---|
Doing Business As | CRESTFIELD REHABILITATION & FENWOOD MANOR |
Entity Type | Organization |
Authorized Contact | ROLLAND CASTLEMAN President 860-643-5151 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 1014C) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2020-08-22 |