NPI 1083882682

Crestwood Health Care Center, L.L.C.

Organisation Nursing Facility/Intermediate Care Facility Florissant, MO

Practice location

Address: 11400 Mehl Avenue, Florissant, MO 63033-7204
Phone: (314) 741-3525
Fax: (314) 741-3721
Mailing address: 1869 Craig Park CT, Saint Louis, MO 63146-4122

Authorised official

Name: Ashwin Dundoo
Title: Finance
Phone: (314) 543-3800

Registered specialties (2)

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 038173 (MO)

Other Nursing Facility/Intermediate Care Facility providers in Missouri →

Nursing Facility/Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 313M00000X

Registry record

NPI: 1083882682
Entity type: Organization
NPI issued: 15 Feb 2008
Record last updated: 4 Apr 2013

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.