Organization
CRESTWOOD CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY C WESTBROOKS M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(618) 781-9591
Entity
Organization
Contact information
Practice address
11400 MEHL AVE, FLORISSANT, MO 63034
(314) 741-3525
Mailing address
11400 MEHL AVE, FLORISSANT, MO 63034
(314) 741-3525
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2012027940
MO
314000000X
Skilled Nursing Facility
242002106
IL
Other
Enumeration date
08/13/2012
Last updated
11/29/2012
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