Organization
CEDAR CREST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARION WOZNIAK (PRESIDENT / CEO)
(608) 373-6301
Entity
Organization
Contact information
Practice address
1702 S RIVER RD, JANESVILLE, WI 53546-5648
(608) 756-0344
(608) 756-9275
Mailing address
1702 S RIVER RD, JANESVILLE, WI 53546-5648
(608) 756-0344
(608) 756-9275
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2201
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20148600
—
WI
Enumeration date
11/16/2005
Last updated
08/22/2020
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