Organization
CRYSTAL CLEAR TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATMATA ADDISON (RN)
(614) 571-8769
Entity
Organization
Contact information
Practice address
7924 HEADWATER DR, BLACKLICK, OH 43004-8070
(614) 571-8769
Mailing address
7924 HEADWATER DR, BLACKLICK, OH 43004-8070
(614) 571-8769
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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