Organization
MOBAT INC
Active
Other names
CrestManor Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEWSANKAR CARPEN RENGASAWMY (ADMINISTRATOR/OWNER)
(561) 585-4695
Entity
Organization
Contact information
Practice address
504 3RD AVE S, LAKE WORTH, FL 33460-4502
(561) 585-4695
(561) 585-1737
Mailing address
504 3RD AVE S, LAKE WORTH, FL 33460-4502
(561) 585-4695
(561) 585-1737
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10028
FL
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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