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Organization

CRYSTAL HOME CARE AZ LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MENACHEM SHMUELI (MANAGING MEMBER)
(917) 753-9089
Entity
Organization

Contact information

Practice address
2025 N 3RD ST STE B300, PHOENIX, AZ 85004-1471
(602) 345-9299
Mailing address
1382 LANES MILL RD STE 104, LAKEWOOD, NJ 08701-3893

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
04/07/2025
Last updated
04/24/2025
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