Individual
MR. RANDALL S CRONE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1580 PROSPECT ST APT B5, ELYRIA, OH 44035-7171
(440) 309-4478
Mailing address
1580 PROSPECT ST APT B5, ELYRIA, OH 44035-7171
(440) 822-8209
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
HPW8385
OH
253Z00000X
In Home Supportive Care Agency
HPW8385
OH
347C00000X
Private Vehicle
Primary
HPW8385
OH
3747P1801X
Personal Care Attendant
HPW8385
OH
376J00000X
Homemaker
HPW8385
OH
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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