# ALTA LIVING CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crowned Caregivers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609687615
- **Authorized official:** NATHAN CARROLL (CEO)
- **Authorized official phone:** (480) 205-3051

## Contact information

- **Practice address:** 110 W JOHNSON ST STE 235, STAUNTON, VA 24401-4245
- **Practice address phone:** (480) 205-3051
- **Mailing address:** 110 W JOHNSON ST STE 235, STAUNTON, VA 24401-4245
- **Mailing address phone:** (480) 205-3051

## Taxonomy

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

## Other

- **Enumeration date:** 01/17/2025
- **Last updated:** 01/17/2025
