Crystal Springs Home, Inc.

NPI #1235726183 in Piketon, Ohio

Provider Information

NPI Number: 1235726183
Entity Type: Organization
Organization Name: Crystal Springs Home, Inc.
Primary Specialty: In Home Supportive Care
Enumeration Date: Dec 27, 2020
Last Updated: Dec 30, 2020

Practice Location

Address: 799 MOUNT ETNA RD
City: Piketon
State: Ohio
ZIP Code: 45661-1101
Phone: (740) 493-2380

Authorized Official

Name: FREDERICKA WAGNER
Title: EXECUTIVE DIRECTOR
Phone: (740) 493-2380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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