Organization
CRESTWOOD NURSING AND CONVALESCENT HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY M MINASSIAN (ADMINISTRATOR)
(401) 245-1574
Entity
Organization
Contact information
Practice address
568 CHILD ST, WARREN, RI 02885-1734
(401) 245-1574
(401) 247-0211
Mailing address
568 CHILD ST, WARREN, RI 02885-1734
(401) 245-1574
(401) 247-0211
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
628
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
628
—
RI
Enumeration date
09/22/2005
Last updated
10/19/2015
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