| NPI | 1992714992 |
|---|---|
| Doing Business As | CRESTPARK INN OF DEWITT |
| Entity Type | Organization |
| Authorized Contact | DANIEL C GREENE Manager 336-668-3896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 637) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-08-22 |