Vanguard Of Crestwood, LLC
Skilled Nursing Facility in Whippany, NJ. Organization (NPI-2).
NPI number1790764256
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790764256
- Entity type
- Organization (NPI-2)
- Legal business name
- Vanguard Of Crestwood, LLC
- Organization subpart
- No
- Enumeration date
- Jan 12, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 061402 | NJ | Yes |
Other names
- Crestwood Nursing & Rehab Center (Doing Business As)
Practice location
101 Whippany RdWhippany, NJ 07981-1407
Phone 973-887-0311 · Fax 973-887-8355
Mailing address
6 Cadillac DrSuite 310
Brentwood, TN 37027-5080
Phone 615-250-7100 · Fax 615-250-7102
Authorized official
Kirk F. Hebert
Financial Analyst
6152507100
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