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Organization
CRYSTAL LIFE TRANSITION SERVICES
Active
Organization
CRYSTAL LIFE TRANSITION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERTRUDE E. AFFUL-DANQUAH OWNER (CHIEF EXECUTIVE OFFICER)
(267) 312-1602
Entity
Organization
Contact information
Practice address
8859 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-1311
(267) 312-1602
Mailing address
8859 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-1311
(267) 312-1602
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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