Crystal Glare LLC

NPI #1659873636 in Taylor, Michigan

Provider Information

NPI Number: 1659873636
Entity Type: Organization
Organization Name: Crystal Glare LLC
Primary Specialty: Home Health
Enumeration Date: Mar 6, 2018
Last Updated: Mar 6, 2018

Practice Location

Address: 9542 W PICKWICK CIR
City: Taylor
State: Michigan
ZIP Code: 48180-3816
Phone: (734) 444-7465

Authorized Official

Name: GRACE SENTAMU
Title: C.E.O
Phone: (734) 444-7465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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