Organization
CROUCH ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKIE EDWARD CROUCH (MANAGER)
(614) 402-1270
Entity
Organization
Contact information
Practice address
501 SCOTT ST, CRESTLINE, OH 44827-1548
(614) 402-1270
Mailing address
501 SCOTT ST, CRESTLINE, OH 44827-1548
(614) 402-1270
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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