NPI 1013024017
Crystal Dietary Service INC
Practice location
- Address
- 15819 Schoolcraft St, Detroit, MI 48227-1749
- Phone
- (313) 493-4900
- Fax
- (313) 493-4904
Authorised official
- Name
- Robert McPherson
- Title
- Ceo
- Phone
- (313) 493-4900
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1013024017
- Entity type
- Organization
- NPI issued
- 24 Aug 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.