Crouch Enterprises, LLC

NPI #1023869450 in Crestline, Ohio

Provider Information

NPI Number
1023869450
Entity Type
Organization
Organization Name
Crouch Enterprises, LLC
Primary Specialty
Preferred Provider Organization
Enumeration Date
Apr 1, 2024
Last Updated
Apr 1, 2024

Practice Location

Address
501 SCOTT ST
State
Ohio
ZIP Code
44827-1548
Phone
(614) 402-1270

Authorized Official

Name
MR. RICKIE EDWARD CROUCH
Title
MANAGER
Phone
(614) 402-1270

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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