# CRESTMARK OF ROSELAWN

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

## Provider details

- **NPI number:** 1902894462
- **Authorized official:** MRS. DANA FRIEDRICHS (ADMINISTRATOR)
- **Authorized official phone:** (219) 345-5211

## Contact information

- **Practice address:** 10352 N 600 E, DEMOTTE, IN 46310-8959
- **Practice address phone:** (219) 345-5211
- **Mailing address:** 10352 N 600 E, DEMOTTE, IN 46310-8959
- **Mailing address phone:** (219) 345-5211

## Taxonomy

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

## Other

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