NPI 1417029885

Crestwood Convalescent - Port Angeles LLC

Organisation Skilled Nursing Facility Port Angeles, WA

Practice location

Address: 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640
Phone: (360) 452-9206
Fax: (360) 457-2935
Mailing address: 1116 East Lauridsen Boulevard, Port Angeles, WA 98362-6640

Authorised official

Name: Dov Jacobs
Title: Manager
Phone: (323) 678-4426

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1417029885
Entity type: Organization
NPI issued: 14 Nov 2006
Record last updated: 18 Aug 2017

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.