Individual
CRYSTAL CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
898 TOWNSHIP ROAD 210, MARENGO, OH 43334-9623
(419) 253-4472
Mailing address
898 TOWNSHIP ROAD 210, MARENGO, OH 43334-9623
(419) 253-4472
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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