SearchMichigan374U00000X

Crystal Nunnery

NPI 1164764031 · on the registry since 2013 · sole proprietor

Practice

Address
14241 Faust Ave
Detroit, MI 48223
Phone
(313) 736-3471
Fax
(313) 736-3471
Organisation at this address
Crystal Serenity House
Beyond Homecare Health Company Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
374U00000X
374U00000X
Also registered as
372500000X
372600000X
376J00000X
Sex
Female
Record last updated
2013-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan