| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1184142481 | CRESTLINE NURSING CENTER LLC | 270 MADISON AVE | NEW YORK | NY | 100160601 | |||
| 1437163243 | CRESTLINE FACILTY OPERATIONS, LLC | 800 CONCOURSE PKWY S | MAITLAND | FL | 327516148 | |||
| 1962444661 | TANDEM HEALTH CARE OF CRESTLINE, INC. | 800 CONCOURSE PKWY S | MAITLAND | FL | 327516148 | |||
| 1033559901 | DUBOIS | RAYMOND | MICHAEL | 68 S MAIN ST | MARENGO | OH | 433349416 |