Individual
KRYSTAL DAWN PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 CAROL LN, THE PLAINS, OH 45780-1329
(220) 732-3563
Mailing address
11 CAROL LN, THE PLAINS, OH 45780-1329
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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