# CRYSTAL CARE AGENCY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CRYSTAL CARE AGENCY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881335321
- **Authorized official:** FOLASADE MORADEYO (DIRECTOR OF NURSING)
- **Authorized official phone:** (202) 203-9064

## Contact information

- **Practice address:** 1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
- **Practice address phone:** (202) 203-9064
- **Mailing address:** 1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
- **Mailing address phone:** (202) 203-9064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 04/06/2022
- **Last updated:** 08/01/2022