The Pavilion at Crescent Lake for Nursing and Rehabilitation, LLC
NPI #1386229250 in Crescent City, Florida
Provider Information
- NPI Number
- 1386229250
- Entity Type
- Organization
- Organization Name
- The Pavilion at Crescent Lake for Nursing and Rehabilitation, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 12, 2021
- Last Updated
- Mar 12, 2021
Practice Location
- Address
- 100 N LAKE ST
- City
- Crescent City
- State
- Florida
- ZIP Code
- 32112-2620
- Phone
- (516) 865-1500
Authorized Official
- Name
- RAFAEL A MOERMAN
- Title
- MANAGING MEMBER
- Phone
- (516) 865-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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