Healthcare Provider Details

I. General information

NPI: 1912862129
Provider Name (Legal Business Name): CRYSTAL ALWAYS THERE (AFCH)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5235 W BOATWRIGHT CT
LECANTO FL
34461-8595
US

IV. Provider business mailing address

5235 W BOATWRIGHT CT
LECANTO FL
34461-8595
US

V. Phone/Fax

Practice location:
  • Phone: 352-400-3672
  • Fax: 352-513-2516
Mailing address:
  • Phone: 352-400-3672
  • Fax: 352-513-2516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL RENEE OWENS
Title or Position: PROVIDER
Credential:
Phone: 352-400-3672