Provider Profile
KRYSTAL HOME SERVICES LLC
Homemaker and Companion Service
FACILITY PROFILE
Street Address
- 5649 SW 27TH ST APT 2
WEST PARK, FL 33023
County: Broward - Phone: (754) 367-9068
Mailing Address
- 7451 RIVIERA BLVD STE 223
MIRAMAR, FL 33023-6575
County: Broward - Phone: (754) 367-9068
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Facility Information:
| Facility/Provider Type: | Homemaker and Companion Service | ||||||
| Administrator: | KRYSTAL HOLMES | ||||||
| Financial Officer: | KRYSTAL HOLMES | ||||||
| Owner/Licensee: | KRYSTAL HOME SERVICES LLC | ||||||
| Owner/Licensee Since: | 6/7/2022 | ||||||
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| Profit Status: | For-Profit | ||||||
| Licensed Beds: | Not Available | ||||||
| AHCA Number (File Number): | 39974262 | ||||||
| AHCA Field Office: | 10 | ||||||
| License Number: | 240360 | ||||||
| Current License Effective: | 6/7/2024 | ||||||
| Current License Expires: | 10/29/2026 | ||||||
| License Status: | REGISTERED | ||||||
Services/Characteristics
| Service Area: | Broward |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.