# CRESCENT HEALTHCARE SYSTEMS, INC

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

## Provider details

- **NPI number:** 1780988220
- **Authorized official:** MS. FAOSAT O AJAO (ADMINISTRATOR)
- **Authorized official phone:** (678) 698-0078

## Contact information

- **Practice address:** 7032 CHIMNEY RIDGE DR, RIVERDALE, GA 30296-2233
- **Practice address phone:** (678) 698-0078
- **Practice address fax:** (678) 952-8959
- **Mailing address:** 7032 CHIMNEY RIDGE DR, RIVERDALE, GA 30296-2233
- **Mailing address phone:** (678) 698-0078
- **Mailing address fax:** (678) 952-8959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 031-R-0512 | GA | Yes |

## Other

- **Enumeration date:** 12/26/2010
- **Last updated:** 12/26/2010