Individual
CHRYSTAL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2545 PROMENADE WAY APT 210, PORTAGE, IN 46368-2965
(219) 318-3116
Mailing address
2545 PROMENADE WAY APT 210, PORTAGE, IN 46368-2965
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/10/2021
Last updated
07/24/2021
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