Crestwood Convalescent - Port Angeles LLC
NPI #1417029885 in Port Angeles, Washington
Provider Information
- NPI Number
- 1417029885
- Entity Type
- Organization
- Organization Name
- Crestwood Convalescent - Port Angeles LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 14, 2006
- Last Updated
- Aug 18, 2017
Practice Location
- Address
- 1116 E LAURIDSEN BLVD
- City
- Port Angeles
- State
- Washington
- ZIP Code
- 98362-6640
- Phone
- (360) 452-9206
Authorized Official
- Name
- DOV JACOBS
- Title
- MANAGER
- Phone
- (323) 678-4426
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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