# CRYSTAL RIVERS IN HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crystal Rivers In Home Care, CRHC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699503169
- **Authorized official:** CRYSTAL RIVERS (OPERATOR)
- **Authorized official phone:** (850) 512-7835

## Contact information

- **Practice address:** 7072 BRYLINGTON BLVD, PENSACOLA, FL 32526-8410
- **Practice address phone:** (850) 512-7835
- **Mailing address:** 7072 BRYLINGTON BLVD, PENSACOLA, FL 32526-8410
- **Mailing address phone:** (850) 512-7835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/25/2024
- **Last updated:** 07/25/2024