Organization
CREST HAVEN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET A. GANNON LONG TERM CARE ADMIN (ADMINISTRATOR)
(609) 465-6816
Entity
Organization
Contact information
Practice address
4 MOORE RD, DN 619, CAPE MAY COURT HOUSE, NJ 08210-1654
(609) 465-1260
(609) 465-3427
Mailing address
4 MOORE RD, DN 619, CAPE MAY COURT HOUSE, NJ 08210-1654
(609) 465-1260
(609) 465-3427
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
22384
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3688020
—
NJ
Enumeration date
07/21/2009
Last updated
07/21/2009
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