Crystal Gem Manor
NPI #1750728812 in Crystal River, Florida
Provider Information
- NPI Number
- 1750728812
- Entity Type
- Organization
- Organization Name
- Crystal Gem Manor
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 30, 2013
- Last Updated
- May 30, 2013
Practice Location
- Address
- 10845 W GEM ST
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34428-6682
- Phone
- (352) 794-7601
Authorized Official
- Name
- JORGE A HERNANDO
- Title
- OWNER
- Phone
- (305) 868-1830
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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