CRYSTAL COVE HOME CARE LLC NPI 1336530278

NPI Information

CRYSTAL COVE HOME CARE LLC is an assisted living facility in Gilbert, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CRYSTAL COVE HOME CARE LLC NPI is 1336530278. The provider is registered as an organization entity type.
The provider Is Doing Business As Crystal Cove Home Care Lic..

The provider's business location address is:

4492 E LAUREL AVE
GILBERT, AZ
ZIP 85234-651
Phone: (480) 633-7122
Fax: (480) 248-6114

The provider's authorized official is Erlinda Villa Canoy .
The authorized official title is Manager and has the following contact phone number (480) 633-7122.

The enumeration date for this NPI number is 2/13/2015 and was last updated on 2/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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