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General NPI Number Information
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NPI Number | 1003765546
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Entity Type | Organization
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Legal Business Name | KRYSTAL GARDENS LLC
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 413 CRAWFORD RUN RD
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City | CREIGHTON
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State | PA
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Zip | 15030-1014
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Country | US
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Telephone | 678-770-5352
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Fax | 937-918-6033
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Provider Business Mailing Address
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Address Line | 413 CRAWFORD RUN RD
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City | CREIGHTON
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State | PA
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Zip | 15030-1014
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Country | US
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Telephone | 678-770-5352
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Fax | 937-918-6033
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Authorized Official
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Title or Position | CEO
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Name | JOHN F TUMA
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Credential |
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Telephone | 678-770-5352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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