Organization
CRYSTAL JOY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN B BALANON RN/BSN (OWNER/MANAGER)
(623) 824-8496
Entity
Organization
Contact information
Practice address
6088 N 85TH AVE, GLENDALE, AZ 85305-2565
(623) 824-8496
(623) 398-7617
Mailing address
6088 N 85TH AVE, GLENDALE, AZ 85305-2565
(623) 824-8496
(623) 398-7617
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9166H
AZ
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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