# CAPE MAY COUNTY CREST HAVEN NURSING AND REHABILITATION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073504411
- **Authorized official:** MS. MARGARET A. GANNON (ADMINISTRATOR)
- **Authorized official phone:** (609) 465-1260

## Contact information

- **Practice address:** 12 MOORE RD, CAPE MAY COURT HOUSE, NJ 08210-1654
- **Practice address phone:** (609) 465-1260
- **Practice address fax:** (609) 465-3427
- **Mailing address:** 4 MOORE RD, DN 619, CAPE MAY COURT HOUSE, NJ 08210-1654
- **Mailing address phone:** (609) 465-1260
- **Mailing address fax:** (609) 465-3427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 060501 | NJ | Yes |

## Other

- **Enumeration date:** 11/03/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4471806 | — | NJ |