Organization
CRESTMARK OF ROSELAWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA FRIEDRICHS (ADMINISTRATOR)
(219) 345-5211
Entity
Organization
Contact information
Practice address
10352 N 600 E, DEMOTTE, IN 46310-8959
(219) 345-5211
Mailing address
10352 N 600 E, DEMOTTE, IN 46310-8959
(219) 345-5211
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Enumeration date
10/10/2005
Last updated
08/22/2020
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