Organization
CRESTHAVEN NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET AMOS (ADMINISTRATOR)
(831) 475-3812
Entity
Organization
Contact information
Practice address
740 17TH AVE, SANTA CRUZ, CA 95062-4122
(831) 475-3812
Mailing address
740 17TH AVE, SANTA CRUZ, CA 95062-4122
(831) 475-3812
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
ZZR18059H
CA
Other
Enumeration date
12/01/2006
Last updated
07/09/2008
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