Crestwood Health & Rehabilitation Center

LBN: Crestwood Convalescent - Port Angeles Llc
Crestwood Health & Rehabilitation Center is an health care organization with primary practice located at 1116 E Lauridsen Blvd , Port Angeles WA 98362-6640. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Crestwood Convalescent - Port Angeles Llc can be contacted via phone (360) 452-9206, or through Jacobs, Dov via phone (323) 678-4426.

Contact Information

Primary practice address
1116 E Lauridsen Blvd Port Angeles WA 98362-6640
Phone: (360) 452-9206
Fax: (360) 457-2935
Website:
Map and Directions
Authorized official contact:
Name: Jacobs, Dov
Phone: (323) 678-4426

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1417029885
LBN Legal business name Crestwood Convalescent - Port Angeles Llc
DBA Doing business as Crestwood Health & Rehabilitation Center
Authorized official Jacobs, Dov
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Aug 18th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417029885 NPPES
Washington MEDICAID 4111688

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