# CRYSTAL LOGISTICS TRANSPORTATION AND HOME HEALTH CARE SERVICES,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CRYSTAL LOGISTICS TRANSPORTATION AND HOME HEALTH CARE SERVICES,LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053046342
- **Authorized official:** MR. KIZZA E KYEYUNE MD (MANAGING DIRECTOR)
- **Authorized official phone:** (774) 251-7885

## Contact information

- **Practice address:** 5 SUFFIELD ST APT 3, WORCESTER, MA 01610-2358
- **Practice address phone:** (774) 251-7885
- **Mailing address:** 5 SUFFIELD ST APT 3, WORCESTER, MA 01610-2358
- **Mailing address phone:** (774) 251-7885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347E00000X | Transportation Broker | — | NULL | Yes |

## Other

- **Enumeration date:** 07/20/2022
- **Last updated:** 07/20/2022