Individual
MS. HALLEY IRENE CRUMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADULT RESIDENTIAL
Contact information
Practice address
16236 N LAKE ST, MADERA, CA 93638-1615
(650) 461-0433
Mailing address
2785 JOSEPH AVE APT 4, CAMPBELL, CA 95008-6259
(650) 461-0433
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
6031500735
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6031500735
COMMUNITY CARE LICENSE DIVISION
CA
Enumeration date
04/14/2020
Last updated
06/16/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us