Organization
CRISTA MINISTRIES
Active
Parent organization
CRISTA MINISTRIES
Other names
CRISTWOOD NURSING & REHABILITATION CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRISTA MINISTRIES
Authorized official
JEFFERSON HENSON (EXECUTIVE DIRECTOR & ADMINISTRATOR)
(206) 546-7567
Entity
Organization
Contact information
Practice address
19301 KINGS GARDEN DR N, SEATTLE, WA 98133-3800
(206) 546-7400
(206) 546-7221
Mailing address
19303 FREMONT AVE N, SEATTLE, WA 98133-3800
(206) 546-7400
(206) 546-7447
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
274
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4127403
—
WA
01
—
505069
MEDICARE PTAN
WA
Enumeration date
05/04/2009
Last updated
07/06/2015
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