Organization
CRESTVIEW HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER VANG (CEO)
(763) 286-6964
Entity
Organization
Contact information
Practice address
3000 CENTERVILLE RD, LITTLE CANADA, MN 55117-1105
(763) 286-6964
Mailing address
3000 CENTERVILLE RD, LITTLE CANADA, MN 55117-1105
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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