NPI | 1831375427 |
---|---|
Doing Business As | CRESTFIELD REHABILITATION CENTER & FENWOOD MANOR |
Entity Type | Organization |
Authorized Contact | HOWARD WILLIAM DICKSTEIN President And Chief Executive Offic 860-871-5454 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 1014-C) |
Enumeration Date | 2008-01-14 |
Last Update Date | 2008-08-07 |