# CRYSTAL HOME CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1437760501
- **Authorized official:** MRS. THUHIEN THI NGUYEN (OWNER)
- **Authorized official phone:** (714) 592-9129

## Contact information

- **Practice address:** 1065 MARIE ST, FOREST PARK, GA 30297-3851
- **Practice address phone:** (714) 592-9129
- **Practice address fax:** (678) 974-8980
- **Mailing address:** 1065 MARIE ST, FOREST PARK, GA 30297-3851
- **Mailing address phone:** (714) 592-9129
- **Mailing address fax:** (678) 974-8980

## Taxonomy

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

## Other

- **Enumeration date:** 08/12/2020
- **Last updated:** 08/12/2020