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Organization

CRESTWOOD LEGACY HOMES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL SIMBARASHE SHENJERE MUTISWA (OWNER)
(614) 699-8343
Entity
Organization

Contact information

Practice address
942 STUDER AVE, COLUMBUS, OH 43206-1637
(937) 543-2738
Mailing address
942 STUDER AVE, COLUMBUS, OH 43206-1637
(937) 543-2738

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
06/18/2026
Last updated
06/29/2026
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