Crystal Beach Ventures LLC

NPI #1538610530 in Galveston, Texas

Provider Information

NPI Number: 1538610530
Entity Type: Organization
Organization Name: Crystal Beach Ventures LLC
Primary Specialty: Home Health
Enumeration Date: Oct 14, 2016
Last Updated: Oct 14, 2016

Practice Location

Address: 2121 MARKET ST
Address 2: SUITE 101
City: Galveston
State: Texas
ZIP Code: 77550-1689
Phone: (409) 974-4935

Authorized Official

Name: MR. MIKE WILLETT
Title: PRESIDENT
Phone: (713) 868-6112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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