Individual
FEISAL CRUMBY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4736 N TEAL LN, OREGON, OH 43616-1674
(419) 360-7994
Mailing address
4736 N TEAL LN, OREGON, OH 43616-1674
(419) 360-7994
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
OH
251X00000X
Supports Brokerage Agency
—
OH
253Z00000X
In Home Supportive Care Agency
—
OH
261QA0600X
Adult Day Care Clinic/Center
Primary
—
OH
343900000X
Non-emergency Medical Transport (VAN)
—
OH
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/29/2024
Last updated
04/11/2024
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