Organization
CRYSTAL CMM HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL GREEN (PRESIDENT)
(267) 971-2580
Entity
Organization
Contact information
Practice address
60 N DEARBORN ST, PHILADELPHIA, PA 19139-2738
(267) 971-2580
Mailing address
60 N DEARBORN ST, PHILADELPHIA, PA 19139-2738
(267) 971-2580
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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