# A CRYSTAL HOME HEALTH

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

## Provider details

- **NPI number:** 1720360316
- **Authorized official:** MR. DAGOBERTO CORREA (CEO)
- **Authorized official phone:** (830) 279-8071

## Contact information

- **Practice address:** 69 MARIA ST, BATESVILLE, TX 78829-0473
- **Practice address phone:** (830) 279-8071
- **Practice address fax:** (830) 279-8071
- **Mailing address:** 69 MARIA ST, BATESVILLE, TX 78829-0473

## Taxonomy

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

## Other

- **Enumeration date:** 09/09/2011
- **Last updated:** 09/09/2011