Organization
CRYSTAL FOUNTAIN HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT BARFIELD (MBR)
(850) 661-2724
Entity
Organization
Contact information
Practice address
1912 N STATE ROAD 53, MADISON, FL 32340-3947
(850) 274-3131
Mailing address
1912 N STATE ROAD 53, MADISON, FL 32340-3947
(850) 274-3131
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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