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Organization
CRYSTAL CARE AGENCY INC
Active
Organization
CRYSTAL CARE AGENCY INC
Active
Other names
CRYSTAL CARE AGENCY INC
Organization subpart
No
Provider details
NPI number
Authorized official
FOLASADE MORADEYO (DIRECTOR OF NURSING)
(202) 203-9064
Entity
Organization
Contact information
Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(202) 203-9064
Mailing address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(202) 203-9064
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
04/06/2022
Last updated
08/01/2022
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