Organization
CRYSTAL CARE AGENCY INC
Active
Other names
CRYSTAL CARE AGENCY INC
Organization subpart
No
Provider details
NPI number
Authorized official
FOLASADE MORADEYO (DIRECTOR OF NURSING)
(202) 203-9064
Entity
Organization
Contact information
Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(202) 203-9064
Mailing address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(202) 203-9064
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/06/2022
Last updated
08/01/2022
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