| NPI | 1942829692 |
|---|---|
| Doing Business As | CREVE COEUR MANOR |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN M KLEIN Authorized Person 201-470-5751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |