Individual
RUSTY A CROTHERS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
740 HOOP RIDGE RD, PEEBLES, OH 45660-9750
(937) 779-2816
Mailing address
740 HOOP RIDGE RD, PEEBLES, OH 45660-9750
(937) 779-2816
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
RK561815
OH
376K00000X
Nurse's Aide
Primary
RK561815
OH
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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