Organization · Type 2 NPI

Crestwood Health Care Center, L.l.c.

Nursing Facility/Intermediate Care Facility · Florissant, MO

NPI number 1083882682 Active

Practice location

11400 Mehl Avenue
Florissant, MO 63033-7204

Fax (314) 741-3721

Mailing address

1869 Craig Park Ct
St. Louis, MO 63146-4122

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility 313M00000XNone listed
Nursing Facility/Intermediate Care Facility Primary 313M00000X038173 (MO)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1083882682

Crestwood Health Care Center, L.l.c.'s National Provider Identifier is 1083882682, issued on Feb 15, 2008. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Florissant, MO. The record was last updated on Apr 4, 2013.