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Organization
CRYSTAL CLEAR HOME HEALTH AGENCY
Active
Organization
CRYSTAL CLEAR HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA LYNN WILSON (CEO)
(901) 428-5525
Entity
Organization
Contact information
Practice address
6739 HARE HILL DR, ARLINGTON, TN 38002-4846
(901) 428-5525
Mailing address
6739 HARE HILL DRIVR, ARLINGTON, TN 38002
(901) 428-5525
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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