MEDICARE: CRYSTAL ALWAYS THERE (AFCH)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1912862129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRYSTAL ALWAYS THERE (AFCH)

Provider Business Mailing Address
First Line	:	5235 W BOATWRIGHT CT
Second Line	:
City	:	LECANTO
State	:	FL
Zip	:	34461-8595
Country	:	US
Telephone Number	:	352-400-3672
Fax Number	:	352-513-2516

Provider Business Practice Location Address
First Line	:	5235 W BOATWRIGHT CT
Second Line	:
City	:	LECANTO
State	:	FL
Zip	:	34461-8595
Country	:	US
Telephone Number	:	352-400-3672
Fax Number	:	352-513-2516

Authorized Official
Title or Position	:	PROVIDER
Name	:	CRYSTAL RENEE OWENS
Credential	:
Telephone Number	:	352-400-3672

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “CRYSTAL ALWAYS THERE (AFCH) ” Practice Location

Language	Start Address	Practice Location

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