| NPI | 1962405720 |
|---|---|
| Doing Business As | CRESCENT MANOR |
| Entity Type | Organization |
| Authorized Contact | GLADYS HARRISON Controller 203-250-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2156C) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |