NPI 1013374008 · live from the CMS NPI Registry
Crystal Nursing Rehabilitation, LLC
Skilled Nursing Facility in Crystal, MN. National Provider Identifier 1013374008, active.
NPI record
| NPI | 1013374008 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 3245 Vera Cruz Ave N, Crystal, MN 55422 |
| Practice phone | 763-971-6300 |
| Enumerated | January 21, 2016 |
| Last updated | January 21, 2016 |
| Authorized official | Ephram Lahasky, President/Manager |
| Other names | Centennial Gardens For Nursing And Rehabilitation |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.