Organization
WILLOW CREST, INC.
Active
Other names
Crestview Manor, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARL D. SCHMIDT (PESIDENT)
(719) 473-6339
Entity
Organization
Contact information
Practice address
1410 E. BUENA VENTURA ST., COLORADO SPRINGS, CO 80909-2825
(719) 473-6339
(719) 448-9301
Mailing address
1410 E. BUENA VENTURA ST., COLORADO SPRINGS, CO 80909-2825
(719) 473-6339
(719) 448-9301
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-0908
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04141545
—
CO
Enumeration date
12/04/2006
Last updated
08/22/2020
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