Crystal Edge LLC
NPI #1093434151 in Brooklyn Park, Minnesota
Provider Information
- NPI Number
- 1093434151
- Entity Type
- Organization
- Organization Name
- Crystal Edge LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Aug 23, 2022
- Last Updated
- Sep 29, 2023
Practice Location
- Address
- 9119 REGENT PKWY
- City
- Brooklyn Park
- State
- Minnesota
- ZIP Code
- 55443-1660
- Phone
- (612) 459-2724
Authorized Official
- Name
- HAJA DEAN
- Title
- DESIGNATED COORDINATOR
- Phone
- (612) 459-2724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Assisted Living Facility |
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