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Organization
CRYSTAL MANOR RESIDENTIAL CARE HOME, LLC
Active
Organization
CRYSTAL MANOR RESIDENTIAL CARE HOME, LLC
Active
Other names
Crystal Manor
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA HADDADIN (MANAGING MEMBER/OWNER)
(626) 391-7421
Entity
Organization
Contact information
Practice address
3406 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-4807
(626) 391-7421
Mailing address
3406 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-4807
(626) 391-7421
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/07/2023
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