Organization
CRESCENT CARE CORPORATION DBA APPLE HOUSE 11
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIA MONTEBON (ADMINISTRATOR)
(386) 698-1444
Entity
Organization
Contact information
Practice address
2301 S US HIGHWAY 17, CRESCENT CITY, FL 32112-3933
(386) 698-1444
Mailing address
2301 S US HIGHWAY 17, CRESCENT CITY, FL 32112-3933
(386) 698-1444
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9265
FL
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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