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Individual

LATISHA CROWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, EFM, ACLS

Contact information

Practice address
4396 AMMON RD, CLEVELAND, OH 44143-2804
(216) 258-5937
Mailing address
4396 AMMON RD, CLEVELAND, OH 44143-2804
(216) 258-5937

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
491034
OH
251E00000X
Home Health Agency
491034
OH
3104A0625X
Assisted Living Facility (Mental Illness)
491034
OH

Other

Enumeration date
12/13/2024
Last updated
12/14/2024
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