Organization
CRYSTAL CLEAN AND CARING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL R WHITE (OWNER/CNA)
(406) 697-9069
Entity
Organization
Contact information
Practice address
2439 TERRY AVE, BILLINGS, MT 59102-4634
(406) 697-9069
Mailing address
2439 TERRY AVE, BILLINGS, MT 59102-4634
(406) 697-9069
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
329574
MT
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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