# CRYSTAL CLEAR CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073256657
- **Authorized official:** BRIAN BYRD (OWNER)
- **Authorized official phone:** (470) 456-9866

## Contact information

- **Practice address:** 3756 SHENFIELD DR, UNION CITY, GA 30291-7181
- **Practice address phone:** (470) 456-9866
- **Mailing address:** 3756 SHENFIELD DR, UNION CITY, GA 30291-7181
- **Mailing address phone:** (470) 456-9866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2022
- **Last updated:** 04/20/2022