| NPI | 1982249207 |
|---|---|
| Doing Business As | CRESTWOOD EAST |
| Entity Type | Organization |
| Authorized Contact | GARTH D HUTTON Administrator 408-921-7062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2026-08-24 |