Organization
INTEGRITY - CRESCENT PARK VILLAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SWAIN SHORT (CIO)
(336) 438-1383
Entity
Organization
Contact information
Practice address
551 REDSTONE AVE W, CRESTVIEW, FL 32536-6435
(850) 683-3997
Mailing address
3053 S CHURCH ST, BURLINGTON, NC 27215-5154
(336) 438-1376
(336) 438-1387
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10102
FL
Other
Enumeration date
09/12/2017
Last updated
11/18/2021
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