# AAA CRYSTAL ROSE ADULT FAMILY HOME

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

## Provider details

- **NPI number:** 1306277660
- **Authorized official:** MR. STEVEN C ANDREWS R.N. (OWNER)
- **Authorized official phone:** (509) 999-7273

## Contact information

- **Practice address:** 4414 S HELENA ST, SPOKANE, WA 99223-4313
- **Practice address phone:** (509) 999-7273
- **Mailing address:** PO BOX 8401, SPOKANE, WA 99203-0401
- **Mailing address phone:** (509) 999-7273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 603295523 | WA | Yes |

## Other

- **Enumeration date:** 12/11/2013
- **Last updated:** 12/11/2013