MS. Halley Irene Crumb, ADULT RESIDENTIAL
NPI #1164041687 in Madera, California
Provider Information
- NPI Number
- 1164041687
- Entity Type
- Individual
- Name
- MS. Halley Irene Crumb, ADULT RESIDENTIAL
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Credential
- ADULT RESIDENTIAL
- Enumeration Date
- Apr 14, 2020
- Last Updated
- Jun 16, 2021
Practice Location
- Address
- 16236 N LAKE ST
- City
- Madera
- State
- California
- ZIP Code
- 93638-1615
- Phone
- (650) 461-0433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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