| NPI | 1215130851 |
|---|---|
| Other Name | CRYSTAL PHELPS ABBOTT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC 002-006) |
| Additional Taxonomies | 177F00000X Lodging |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2024-02-12 |