Organization
LANTERN OF CRESCENT CITY LLC
Active
Other names
Lantern Health Crescent City
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT ROBERTSON (CEO)
(801) 296-5100
Entity
Organization
Contact information
Practice address
1280 MARSHALL ST, CRESCENT CITY, CA 95531-2217
(801) 296-5100
Mailing address
1280 MARSHALL ST, CRESCENT CITY, CA 95531-2217
(801) 296-5100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/28/2014
Last updated
12/18/2015
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