NPI 1477370468
Crystal Royal Care
Practice location
- Address
- 128 North Dr, Staten Island, NY 10305-5108
- Phone
- (717) 813-7999
Authorised official
- Name
- Lusty Biney
- Title
- Manager
- Phone
- (717) 813-7999
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1477370468
- Entity type
- Organization
- NPI issued
- 23 Sep 2024
- Record last updated
- 23 Sep 2024
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.