Crestwood Nursing and Convalescent Home INC
NPI #1205822517 in Warren, Rhode Island
Provider Information
- NPI Number
- 1205822517
- Entity Type
- Organization
- Organization Name
- Crestwood Nursing and Convalescent Home INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 22, 2005
- Last Updated
- Oct 19, 2015
Practice Location
- Address
- 568 CHILD ST
- City
- Warren
- State
- Rhode Island
- ZIP Code
- 02885-1734
- Phone
- (401) 245-1574
Authorized Official
- Name
- MR. GARY M MINASSIAN
- Title
- ADMINISTRATOR
- Phone
- (401) 245-1574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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