Individual
MRS. BETTY J. CRUSAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMIN.OWNER
Contact information
Practice address
5265 LONGLEAF ST, JACKSONVILLE, FL 32209-2704
(904) 764-3600
Mailing address
3117 TROUT RIVER BLVD, JACKSONVILLE, FL 32208-1370
(904) 765-7876
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10996
FL
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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