Individual
BEVERLY CROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
137 HARWOOD ST, ELYRIA, OH 44035-3916
(216) 280-5540
Mailing address
137 HARWOOD ST, ELYRIA, OH 44035-3916
(216) 280-5540
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2108016
—
OH
Enumeration date
06/09/2020
Last updated
06/09/2020
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