Organization
CRESTWOOD OPERATIONS LLC
Active
Parent organization
MAXIMUS HEALTHCARE GROUP LLC
Other names
Crestwood Nursing and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAXIMUS HEALTHCARE GROUP LLC
Authorized official
LYNNE PLACE (VP OF FINANCE)
(828) 322-8171
Entity
Organization
Contact information
Practice address
501 S PALM AVE, PALATKA, FL 32177-4147
(386) 698-2222
Mailing address
PO BOX 9268, HICKORY, NC 28603-9268
(828) 322-8171
(828) 322-3704
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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