Organization
CRESTWOOD HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAIM SHAPIRO (COO)
(848) 333-4369
Entity
Organization
Contact information
Practice address
568 CHILD ST, WARREN, RI 02885-1734
(401) 245-1574
Mailing address
362 E KENNEDY BLVD, LAKEWOOD, NJ 08701-1434
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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