Organization
CRESTLINE NURSING CENTER LLC
Active
Other names
Crestline Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
EPHRAM LAHASKY (SENIOR VICE PRESIDENT)
(212) 532-5550
Entity
Organization
Contact information
Practice address
327 W MAIN ST, CRESTLINE, OH 44827-1434
(419) 683-3255
Mailing address
270 MADISON AVE, NEW YORK, NY 10016-0601
(212) 532-5550
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0254N
OHIO DEPARTMENT OF HEALTH HOME NUMBER
OH
Enumeration date
09/07/2017
Last updated
11/25/2025
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