Organization
CRYSTALCARE HOME HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEREZA KUYUMJYAN (CEO)
(818) 956-8761
Entity
Organization
Contact information
Practice address
442 W BROADWAY, GLENDALE, CA 91204
(818) 956-8761
(818) 956-8026
Mailing address
442 W BROADWAY, GLENDALE, CA 91204
(818) 956-8761
(818) 956-8026
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251E00000X
251E00000X
—
Enumeration date
07/22/2009
Last updated
02/14/2013
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