Crestline Facilty Operations, LLC

NPI #1437163243 in Crestline, Ohio

Provider Information

NPI Number
1437163243
Entity Type
Organization
Organization Name
Crestline Facilty Operations, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CONSULATE HEALTH CARE, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 28, 2006
Last Updated
Oct 15, 2007

Practice Location

Address
327 W MAIN ST
State
Ohio
ZIP Code
44827-1434
Phone
(419) 683-3255

Authorized Official

Name
JOSEPH CONTE
Title
CHIEF EXECUTIVE OFFICER
Phone
(407) 571-1550

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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