# CHRISTAL HOME HEALTHCARE AGENCY

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

## Provider details

- **NPI number:** 1841561636
- **Authorized official:** SHERYL CARSON (OWNER)
- **Authorized official phone:** (313) 790-4032

## Contact information

- **Practice address:** 16845 LIVERNOIS AVE, DETROIT, MI 48221-3037
- **Practice address phone:** (313) 342-1006
- **Mailing address:** 6795 GLENWAY DR, WEST BLOOMFIELD, MI 48322-3910
- **Mailing address phone:** (313) 790-4032

## Taxonomy

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

## Other

- **Enumeration date:** 01/25/2012
- **Last updated:** 01/25/2012