Organization
CRESTVIEW OPERATING COMPANY, INC.
Active
Other names
Crestview Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS D NORDQUIST (PRESIDENT)
(330) 726-6047
Entity
Organization
Contact information
Practice address
68637 BANNOCK RD, SAINT CLAIRSVILLE, OH 43950-9736
(740) 695-2500
(740) 695-5969
Mailing address
68637 BANNOCK RD, SAINT CLAIRSVILLE, OH 43950-9736
(740) 695-2500
(740) 695-5969
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2241N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2241N
NURSING HOME LICENSE #
OH
05
—
2433423
—
OH
Enumeration date
06/14/2005
Last updated
09/19/2007
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