| NPI | 1336530278 |
|---|---|
| Doing Business As | CRYSTAL COVE HOME CARE LIC. |
| Entity Type | Organization |
| Authorized Contact | ERLINDA VILLA CANOY Manager 480-633-7122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL2704H) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |