NPI | 1720273576 |
---|---|
Doing Business As | CRYSTAL COVE CARE CENTER |
Entity Type | Organization |
Authorized Contact | JOHN MITCHELL Secretary 385-988-3319 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2007-09-13 |
Last Update Date | 2024-08-20 |