Organization
CRYSTAL HOME HEALTH CARE SERVICES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLADYS A. MAGSINO RN (ADMINISTRATOR)
(562) 427-3690
Entity
Organization
Contact information
Practice address
3939 ATLANTIC AVE, SUITE 202, LONG BEACH, CA 90807-3536
(562) 427-3690
(562) 427-3847
Mailing address
3939 ATLANTIC AVE, SUITE 202, LONG BEACH, CA 90807-3536
(562) 427-3690
(562) 427-3847
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001450
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08210F
—
CA
Enumeration date
05/23/2006
Last updated
08/22/2020
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