| NPI | 1386790160 |
|---|---|
| Doing Business As | CREST |
| Doing Business As | CREST NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | DAWN M. MARSH Vice Presidnet Operations 608-225-2516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MT 11421) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-05-22 |