Organization
CREST SERVICES
Active
Other names
American Baptist Homes of the Midwest
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI LEE SONSTEBY R.N. (DIRECTOR OF CLINICAL)
(952) 941-3175
Entity
Organization
Contact information
Practice address
3015 MERLE HAY RD, SUITE 6, DES MOINES, IA 50310-1270
(515) 331-1200
(515) 331-1220
Mailing address
3015 MERLE HAY RD, SUITE 6, DES MOINES, IA 50310-1270
(515) 331-1200
(515) 331-1220
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096032
—
IA
05
—
0121798
—
IA
05
—
0172577
—
IA
01
—
0892240
STATE SUPPLEMENTAL ASSIST
IA
01
—
0892455
STATE SUPPLEMENTAL ASSIST
IA
01
—
0894915
STATE SUPPLEMENTAL ASSIST
IA
01
—
0895946
STATE SUPPLEMENTAL ASSIST
IA
05
—
1121798
—
IA
Enumeration date
10/10/2005
Last updated
08/22/2020
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