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Organization

CRYSTAL NURSING SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PATRICK KIRK THOMPSON (VP / ADMINISTRATOR)
(561) 409-8260
Entity
Organization

Contact information

Practice address
980 N FEDERAL HWY, 110, BOCA RATON, FL 33432-2708
(561) 409-8260
(561) 409-8250
Mailing address
980 N FEDERAL HWY, 110, BOCA RATON, FL 33432-2708
(561) 409-8260
(561) 409-8250

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
30211911
FL
374U00000X
Home Health Aide
Primary
30211911
FL

Other

Enumeration date
02/20/2018
Last updated
02/20/2018
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