Organization
CRYSTAL HOME HEALTH CARE,LLC
Active
Other names
CRYSTAL HOME HEALTH CARE, LLC, CRYSTAL HOME HEALTH CARE,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL HOME HEALTH CARE LLC DIRECTOR (DIRECTOR)
(816) 726-5625
Entity
Organization
Contact information
Practice address
155 S 18TH ST STE 107, KANSAS CITY, KS 66102-5644
(816) 726-5625
Mailing address
155 S 18TH ST STE 107, KANSAS CITY, KS 66102-5644
(816) 726-5625
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
253Z00000X
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A-046-205
—
KS
Enumeration date
06/24/2013
Last updated
03/12/2024
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