Organization
CRYSTAL'S SENIOR SERVICES LLC
Active
Other names
Crystal's Senior Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL DOUGLAS (FOUNDER / CEO)
(909) 887-1904
Entity
Organization
Contact information
Practice address
1945 PORTER ST, SAN BERNARDINO, CA 92407-6539
(909) 887-1904
(909) 887-9734
Mailing address
1945 PORTER ST, SAN BERNARDINO, CA 92407-6539
(909) 887-1904
(909) 887-9734
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
CA
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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