| NPI | 1508884487 |
|---|---|
| Doing Business As | CRESTWOOD MANOR |
| Entity Type | Organization |
| Authorized Contact | LORI BLACKBURN Vice President 209-955-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2015-05-19 |