Crestwood House LLC
NPI #1144689852 in Titusville, Florida
Provider Information
- NPI Number
- 1144689852
- Entity Type
- Organization
- Organization Name
- Crestwood House LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 23, 2016
- Last Updated
- Feb 23, 2016
Practice Location
- Address
- 848 CRESTWOOD AVE
- City
- Titusville
- State
- Florida
- ZIP Code
- 32796-2264
- Phone
- (321) 501-3280
Authorized Official
- Name
- DAVID ALAN MCKNIGHT
- Title
- MGMR
- Phone
- (321) 501-3280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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