# CRESCENT CITY SKILLED NURSING, LLC

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

## Provider details

- **NPI number:** 1962951715
- **Authorized official:** NICHOLE TONS (CEO)
- **Authorized official phone:** (310) 270-6469

## Contact information

- **Practice address:** 1280 MARSHALL ST, CRESCENT CITY, CA 95531-2217
- **Practice address phone:** (707) 464-6151
- **Mailing address:** 4076 LARK ST, SAN DIEGO, CA 92103-1735
- **Mailing address phone:** (310) 270-6469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | — | — | Yes |
| 282N00000X | General Acute Care Hospital | — | — | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2016
- **Last updated:** 08/25/2026