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Organization

CRYSTAL ETHAN SUPPORT CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLUFEMI EMMANUEL BEWAJI (OWNER)
(513) 371-0956
Entity
Organization

Contact information

Practice address
7517 PROVIDENCE WOODS CT, WEST CHESTER, OH 45069-1172
(513) 371-0956
Mailing address
7517 PROVIDENCE WOODS CT, WEST CHESTER, OH 45069-1172
(513) 371-0956

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
12/23/2025
Last updated
12/23/2025
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