Crystal Waller
Crystal Waller is a Nursing Care Agency in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2014.
- Licensed in
- OH
- In the registry since
- 2014
Practice location Address checks out
3040 Charles Carr PlCleveland, OH 44104-4106
Phone: (216) 609-9421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Care Agency (primary) | Taxonomy 251J00000X · Licence PN141935 (OH) |
|---|
Record details
| NPI number | 1417365347 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Crystal Waller — Lpn · (216) 609-9421 |
| NPI enumerated | July 23, 2014 |
| Last updated in NPPES | July 23, 2014 |
| Mailing address | 3040 Charles Carr Pl, Cleveland, OH 44104-4106 |
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