CRYSTAL CLARK NPI 1467014894

NPI Information

Crystal Clark is an adult companion in Rochester, NY. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. Crystal Clark NPI is 1467014894. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

153 BRAMBURY DR APT D
ROCHESTER, NY
ZIP 14621-820
Phone: (404) 621-2852

The enumeration date for this NPI number is 7/6/2019 and was last updated on 7/6/2019.

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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