NPI | 1881433852 |
---|---|
Doing Business As | CRESTWOOD SERENITY |
Entity Type | Organization |
Authorized Contact | ELISHIA M SMITH President 208-409-1090 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
Enumeration Date | 2024-05-21 |
Last Update Date | 2024-08-19 |