Halley Irene Crumb, Adult Residential
Technician, Attendant Care Provider in Madera, CA. Individual provider (NPI-1).
NPI number1164041687
StatusActive
Last updated in NPPESJun 16, 2021
Details
- NPI
- 1164041687
- Entity type
- Individual (NPI-1)
- Name
- Ms. Halley Irene Crumb
- Credential
- Adult Residential
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 14, 2020
- Certification date
- Jun 16, 2021
- Last updated
- Jun 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | 6031500735 | CA | Yes |
Practice location
16236 N Lake StMadera, CA 93638-1615
Phone 650-461-0433
Mailing address
2785 Joseph Ave Apt 4Campbell, CA 95008-6259
Phone 650-461-0433
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Attendant Care Provider providers in Madera, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.