Organization
CRESTVIEW CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA LAGUNA R.N. (ADMINISTRATOR)
(813) 431-1848
Entity
Organization
Contact information
Practice address
1711 W ERNA DR, TAMPA, FL 33603-2804
(813) 870-6369
Mailing address
1711 W ERNA DR, TAMPA, FL 33603-2804
(813) 870-6369
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PENDING
FL
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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