Laureate Crestwood Operations LLC
Skilled Nursing Facility in Crestwood, IL. Organization (NPI-2).
NPI number1982256632
StatusActive
Last updated in NPPESJul 12, 2019
Details
- NPI
- 1982256632
- Entity type
- Organization (NPI-2)
- Legal business name
- Laureate Crestwood Operations LLC
- Organization subpart
- No
- Enumeration date
- Jul 12, 2019
- Last updated
- Jul 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
13301 Central AveCrestwood, IL 60418-1370
Phone 708-597-5251 · Fax 708-597-4998
Mailing address
13024 Balntyn Corp Pl Ste 425Charlotte, NC 28277-4420
Phone 704-426-8849
Authorized official
Shaun Ahmad
Manager
7044268849
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