Organization
PALM CREST WEST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ROTENBERRY CPA (CFO)
(440) 239-4300
Entity
Organization
Contact information
Practice address
221 WEST AVE, ELYRIA, OH 44035-5309
(440) 322-2525
(440) 284-1051
Mailing address
221 WEST AVE, ELYRIA, OH 44035-5309
(440) 322-2525
(440) 284-1051
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3915
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0357251
—
OH
Enumeration date
06/08/2005
Last updated
08/22/2020
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