Organization
CRESTVIEW MANOR, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN ROOT (ADMINISTRATOR)
(515) 832-2727
Entity
Organization
Contact information
Practice address
2401 DES MOINES ST, WEBSTER CITY, IA 50595-3046
(515) 832-2727
(515) 832-2761
Mailing address
2401 DES MOINES ST, WEBSTER CITY, IA 50595-3046
(515) 832-2727
(515) 832-2761
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N-0343
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800946
—
IA
Enumeration date
09/13/2005
Last updated
12/30/2009
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