Individual
RICHARD CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3378 GILPIN RD, CHEBOYGAN, MI 49721-9507
(231) 627-3261
Mailing address
3378 GILPIN RD, CHEBOYGAN, MI 49721-9507
(231) 627-3261
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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