| NPI | 1811906134 |
|---|---|
| Doing Business As | CRESTPARK INN OF WYNNE |
| Entity Type | Organization |
| Authorized Contact | DANIEL C GREENE Manager 336-668-3896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 636) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |