# CRYSTAL CLEAR HOME HEALTH AGENCY

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

## Provider details

- **NPI number:** 1366829319
- **Authorized official:** VERONICA LYNN WILSON (CEO)
- **Authorized official phone:** (901) 428-5525

## Contact information

- **Practice address:** 6739 HARE HILL DR, ARLINGTON, TN 38002-4846
- **Practice address phone:** (901) 428-5525
- **Mailing address:** 6739 HARE HILL DRIVR, ARLINGTON, TN 38002
- **Mailing address phone:** (901) 428-5525

## Taxonomy

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