Crystal R Cain

Individual provider Active NPI In Home Supportive Care Agency · Atwater, OH

NPI 1376259762 · NPPES record last updated Jan 30, 2023

Key facts

NPI
1376259762
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
881 New Milford Rd
Atwater, OH 44201-9205
Phone
(330) 819-6630
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

881 New Milford Rd
Atwater, OH 44201-9205

Mailing address

881 New Milford Rd
Atwater, OH 44201-9205
Phone (330) 819-6630

Other providers in Atwater, OH

All providers in Atwater, OH · In Home Supportive Care Agency in Ohio

Sources for this page

Verify at the official NPI Registry.