Crystal Manor Residential Care Home, LLC
NPI #1518733211 in Baldwin Park, California
Provider Information
- NPI Number
- 1518733211
- Entity Type
- Organization
- Organization Name
- Crystal Manor Residential Care Home, LLC
- Primary Specialty
- Assisted Living Facility - Assisted Living, Mental Illness
- Enumeration Date
- Dec 4, 2023
- Last Updated
- Dec 7, 2023
Practice Location
- Address
- 3406 BALDWIN PARK BLVD
- City
- Baldwin Park
- State
- California
- ZIP Code
- 91706-4807
- Phone
- (626) 391-7421
Authorized Official
- Name
- CHRISTINA HADDADIN
- Title
- MANAGING MEMBER/OWNER
- Phone
- (626) 391-7421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness |
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