# CRYSTAL LIFE TRANSITION SERVICES

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

## Provider details

- **NPI number:** 1538829411
- **Authorized official:** GERTRUDE E. AFFUL-DANQUAH OWNER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (267) 312-1602

## Contact information

- **Practice address:** 8859 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-1311
- **Practice address phone:** (267) 312-1602
- **Mailing address:** 8859 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-1311
- **Mailing address phone:** (267) 312-1602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2021
- **Last updated:** 12/20/2021