# RICHMOND CRESTVIEW HEALTH & REHABILITATION COMPLEX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crestview Personal Care Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003805797
- **Authorized official:** MS. JANET JUSTICE (ADMINISTRATOR)
- **Authorized official phone:** (859) 625-5031

## Contact information

- **Practice address:** 133 MEADOWLARK DR, RICHMOND, KY 40475-2235
- **Practice address phone:** (859) 623-5031
- **Practice address fax:** (859) 625-3074
- **Mailing address:** PO BOX 9, RICHMOND, KY 40476-0009
- **Mailing address phone:** (859) 623-5031
- **Mailing address fax:** (859) 625-3074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100320 | KY | Yes |

## Other

- **Enumeration date:** 10/17/2005
- **Last updated:** 08/22/2020