Healthcare Provider Details

I. General information

NPI: 1326951120
Provider Name (Legal Business Name): CRESTMONT GLOBAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 S CHARLOTTE AVE
SIOUX FALLS SD
57103-3024
US

IV. Provider business mailing address

909 S CHARLOTTE AVE
SIOUX FALLS SD
57103-3024
US

V. Phone/Fax

Practice location:
  • Phone: 347-357-2134
  • Fax:
Mailing address:
  • Phone: 347-357-2134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARJORIE JOSEPH
Title or Position: CEO
Credential: CEO
Phone: 347-357-2134