Organization
CREST HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BALAJADIA (MANAGER)
(407) 580-4770
Entity
Organization
Contact information
Practice address
2463 MICHIGAN AVE, KISSIMMEE, FL 34744-1907
(407) 201-4687
Mailing address
5552 OAKWORTH PL, SANFORD, FL 32773-7052
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
10/05/2021
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