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Crystal House, LPN
Licensed Practical Nurse in Center Line, Michigan
NPI 1013388032

Crystal House is a Licensed Practical Nurse based in Center Line, MI. Crystal House practices in Center Line, MI and has the professional credentials of LPN. The NPI Number for Crystal House is 1013388032 and holds a License No. 4703115533 (Michigan).

The current practice location address for Crystal House is 8033 E 10 Mile Rd, Center Line, MI and can be reached out via phone at 586-756-6661 and via fax at 586-756-6933.

Location: 8033 E 10 Mile Rd, Center Line, MI, 48015-1427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013388032
Provider Name
Crystal House
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
8033 E 10 Mile Rd, Center Line, MI, 48015-1427
Phone Number
586-756-6661
Fax Number
586-756-6933
Provider Enumeration Date
10/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8033 E 10 Mile Rd
City
Center Line
State
Michigan
Zip
48015-1427
Phone Number
586-756-6661
Fax Number
586-756-6933
person
Provider Business Mailing Address Details
Address
8033 E 10 Mile Rd
City
Center Line
State
Michigan
Zip
48015-1427
Phone Number
586-756-6661
Fax Number
586-756-6933
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703115533 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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