NPI | 1730155409 |
---|---|
Doing Business As | CRESCENT MANOR CARE CTR |
Entity Type | Organization |
Authorized Contact | CLAUDETTE WERNER POORMAN Administrator 802-447-1501 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VT 0270000270) |
Enumeration Date | 2006-02-23 |
Last Update Date | 2020-08-22 |