Organization
CREST VIEW CORPORATION
Active
Other names
Crest View Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY BARNES (CEO)
(763) 782-1611
Entity
Organization
Contact information
Practice address
1515 44TH AVE NE, COLUMBIA HEIGHTS, MN 55421-3003
(763) 782-1611
Mailing address
4444 RESERVOIR BLVD, COLUMBIA HEIGHTS, MN 55421-3255
(763) 782-1611
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
374864
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
970516300
—
MN
Enumeration date
09/30/2009
Last updated
02/13/2017
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