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Organization
CRYSTAL CARE NURSING AGENCY LLC
Active
Organization
CRYSTAL CARE NURSING AGENCY LLC
Active
Other names
CYSTAL CARE NURSING AGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUTUNJI OLUJIDE MD (ADMINISTRATOR)
(240) 898-7762
Entity
Organization
Contact information
Practice address
11813 CHAREN LN, POTOMAC, MD 20854-3448
(240) 898-7762
(888) 872-7931
Mailing address
11813 CHAREN LN, POTOMAC, MD 20854-3448
(240) 898-7762
(888) 872-7931
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
10/27/2021
Last updated
01/26/2022
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