Columbia Crest Construction, LLC
Skilled Nursing Facility in Tallahassee, FL. Organization (NPI-2).
NPI number1669729406
StatusActive
Last updated in NPPESAug 11, 2012
Details
- NPI
- 1669729406
- Entity type
- Organization (NPI-2)
- Legal business name
- Columbia Crest Construction, LLC
- Organization subpart
- No
- Enumeration date
- Aug 11, 2012
- Last updated
- Aug 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
| 310400000X | Assisted Living Facility | – | – |
Practice location
3909 Reserve DrSte 2818
Tallahassee, FL 32311-8200
Phone 850-591-1350 · Fax 850-807-2585
Mailing address
3909 Reserve DrSte 2818
Tallahassee, FL 32311-8200
Phone 850-591-1350 · Fax 850-807-2585
Authorized official
Erik E Brown
Sole Mbr
8505911350
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