Organization
CRYSTAL COVE HOME CARE LLC
Active
Other names
Crystal cove home care Lic.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERLINDA VILLA CANOY B. S. FINANCE (MANAGER)
(480) 633-7122
Entity
Organization
Contact information
Practice address
4492 E LAUREL AVE, GILBERT, AZ 85234-7651
(480) 633-7122
(480) 248-6114
Mailing address
4492 E LAUREL AVE, GILBERT, AZ 85234-7651
(480) 633-7122
(480) 248-6114
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL2704H
AZ
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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