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Crystal Lynn Booth
Attendant Care Provider in Clay, New York
NPI 1891324240

Crystal Lynn Booth is an Attendant Care Provider based in Clay, NY and is specialized in Attendant Care Provider. Crystal Lynn Booth practices in Clay, NY. The NPI Number for Crystal Lynn Booth is 1891324240 and holds a License No. (New York).

The current practice location address for Crystal Lynn Booth is 5510 Fortuna Pkwy, Clay, NY and can be reached out via phone at 315-383-5938. You can also correspond with Crystal Lynn Booth through the mailing address at 5510 FORTUNA PKWY, CLAY, NY - 13041-8929 (mailing address contact number: 315-383-5938).

Location: 5510 Fortuna Pkwy, Clay, NY, 13041-8929
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891324240
Provider Name
Crystal Lynn Booth
Credential
Provider Entity Type
Individual
Gender
Female
Address
5510 Fortuna Pkwy, Clay, NY, 13041-8929
Phone Number
315-383-5938
Fax Number
Provider Enumeration Date
04/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5510 Fortuna Pkwy
City
Clay
State
New York
Zip
13041-8929
Phone Number
315-383-5938
Fax Number
person
Provider Business Mailing Address Details
Address
5510 Fortuna Pkwy
City
Clay
State
New York
Zip
13041-8929
Phone Number
315-383-5938
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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