Organization
VANGUARD OF CRESTWOOD, LLC
Active
Other names
Crestwood Nursing & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK F. HEBERT (FINANCIAL ANALYST)
(615) 250-7100
Entity
Organization
Contact information
Practice address
101 WHIPPANY RD, WHIPPANY, NJ 07981-1407
(973) 887-0311
(973) 887-8355
Mailing address
6 CADILLAC DR, SUITE 310, BRENTWOOD, TN 37027-5080
(615) 250-7100
(615) 250-7102
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061402
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8938407
—
NJ
Enumeration date
01/12/2006
Last updated
08/22/2020
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