Crestview SNF, LLC

Skilled Nursing Facility · Wyoming, MI

Organization Active NPI

NPI number 1073002606

Practice location

625 36TH St SW
Wyoming, MI 49509
Phone
(616) 531-0200

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NPI record

NPI
1073002606
Entity type
Organization (Type 2)
Enumeration date
May 9, 2018
Last updated
August 17, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Mailing address

620 Davis St Ste 200
Evanston, IL 60201-4419

Authorized official

Name
Yair Zuckerman
Title
Manager
Phone
(773) 517-4777

Other names

  • Illuminate HC Wyoming
  • SKLD Wyoming

About Crestview SNF, LLC

Crestview SNF, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 625 36TH St SW, Wyoming, MI 49509. The NPI number 1073002606 was assigned on May 9, 2018 and the record was last updated on August 17, 2018.

The authorized official for this organization is Yair Zuckerman, Manager.

Frequently asked questions

What is the NPI number of Crestview SNF, LLC?

The NPI number is 1073002606.

What is the phone number of Crestview SNF, LLC?

The phone number listed for the practice location is (616) 531-0200.

Where is Crestview SNF, LLC located?

625 36TH St SW, Wyoming, MI 49509.

What is the taxonomy code for Crestview SNF, LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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