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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Crystal Light Hospice, Inc. | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| NPI | 1154944205 | [sources] | |||
| Registration number | 550006577 | [sources] | |||
| Sector | Entity/Corporation | [sources] | |||
| Address | 1817 W. Avenue K, Ste. 201, Lancaster, CA 93534 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States of America · DHCS
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