Organization
CRYSTAL FERGUSON
Active
Other names
crystal ferguson
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CRYSTAL LEVETTE FERGUSON (INDEPENDENT PROVIDER)
(513) 693-5952
Entity
Organization
Contact information
Practice address
3452 VINE ST, CINCINNATI, OH 45220-1333
(513) 693-5952
Mailing address
3452 VINE ST, CINCINNATI, OH 45220-1333
(513) 693-5952
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055350
—
OH
Enumeration date
01/09/2015
Last updated
01/09/2015
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