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Organization

CRYSTAL MANOR RESIDENTIAL CARE HOME, LLC

Active
Other names
Crystal Manor
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA HADDADIN (MANAGING MEMBER/OWNER)
(626) 391-7421
Entity
Organization

Contact information

Practice address
3406 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-4807
(626) 391-7421
Mailing address
3406 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-4807
(626) 391-7421

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary

Other

Enumeration date
12/04/2023
Last updated
12/07/2023
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