MR. Rickie E Crouch SR.

NPI #1184352122 in Crestline, Ohio

Provider Information

NPI Number: 1184352122
Entity Type: Individual
Name: MR. Rickie E Crouch SR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chore Provider
Enumeration Date: Aug 9, 2022
Last Updated: Aug 9, 2022

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor - Home Modifications — Home Modifications	171WH0202X
Chore Provider	372500000X	Primary

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