NPI 1023010071
Crestwood Nursing Center INC
Practice location
- Address
- 501 S Palm Ave, Palatka, FL 32177-4147
- Phone
- (386) 328-1472
- Fax
- (386) 325-1531
- Mailing address
- 995 Canton St STE 100, Roswell, GA 30075-4240
Authorised official
- Name
- Robert Hagan
- Title
- President
- Phone
- (770) 993-4000
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1023010071
- Entity type
- Organization
- NPI issued
- 10 Aug 2005
- Record last updated
- 18 Jul 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.