| NPI | 1184157935 |
|---|---|
| Former Legal Business Name | CRYSTALYN'S PHLEBOTOMIST ON WHEELS |
| Entity Type | Organization |
| Authorized Contact | CRYSTALYN HOOPER Phleboto MIS T/Owner 336-402-5932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251J00000X Nursing Care | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 291900000X Military Clinical Medical Laboratory | |
| 291U00000X Clinical Medical Laboratory | |
| 292200000X Dental Laboratory | |
| 293D00000X Physiological Laboratory | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2017-04-13 |