Organization
MED-SYSTEMS OF PORTSMOUTH LLC
Active
Other names
Crystal Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAFFIN (PRESIDENT)
(740) 354-6619
Entity
Organization
Contact information
Practice address
1319 SPRING ST, PORTSMOUTH, OH 45662-3715
(740) 354-6619
Mailing address
1319 SPRING ST, PORTSMOUTH, OH 45662-3715
(740) 354-6619
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4720
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081283
—
OH
Enumeration date
03/13/2013
Last updated
08/13/2013
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