NPI | 1699046029 |
---|---|
Doing Business As | CRESTWOOD TERRACE NURSING CENTER |
Entity Type | Organization |
Authorized Contact | JAMIE NICKLE Director 630-501-0996 |
Organization Subpart ? | Yes |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2012-01-17 |
Last Update Date | 2017-01-27 |