Healthcare Provider Details

I. General information

NPI: 1639034556
Provider Name (Legal Business Name): CRYSTAL'S HELPING HAND'S
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 E PEARL ST APT 501
JACKSON AL
36545-2816
US

IV. Provider business mailing address

520 E PEARL ST APT 501
JACKSON AL
36545-2816
US

V. Phone/Fax

Practice location:
  • Phone: 251-421-5428
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL DENISE WILLIAMSON
Title or Position: CNA
Credential:
Phone: 251-421-5428