# LANTERN OF CRESCENT CITY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lantern Health Crescent City
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356748800
- **Authorized official:** BRETT ROBERTSON (CEO)
- **Authorized official phone:** (801) 296-5100

## Contact information

- **Practice address:** 1280 MARSHALL ST, CRESCENT CITY, CA 95531-2217
- **Practice address phone:** (801) 296-5100
- **Mailing address:** 1280 MARSHALL ST, CRESCENT CITY, CA 95531-2217
- **Mailing address phone:** (801) 296-5100

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2014
- **Last updated:** 12/18/2015