Individual
CASEY LYNN CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 BROAD ST STE 101A, SUMMERSVILLE, WV 26651-1708
(304) 872-9531
Mailing address
7510 DEER BRANCH RD, ROANOKE, VA 24019-3120
(540) 815-0988
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/28/2020
Last updated
02/19/2025
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