NPI | 1730112707 |
---|---|
Doing Business As | CRESTWOOD CARE AND REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM A MATHIES President Director 505-821-3355 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NH 2283) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2009-09-30 |