Crystal Calendine
Home Health Aide in Blue Rock, OH. Individual provider (NPI-1).
NPI number1962005181
StatusActive
Last updated in NPPESNov 19, 2020
Details
- NPI
- 1962005181
- Entity type
- Individual (NPI-1)
- Name
- Prof. Crystal Calendine
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 19, 2020
- Certification date
- Nov 18, 2020
- Last updated
- Nov 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 374U00000X | Home Health Aide | 0113701 | OH |
Practice location
10824 N Rex RdBlue Rock, OH 43720-9604
Phone 740-651-3192
Mailing address
10824 N Rex RdBlue Rock, OH 43720-9604
Phone 740-651-3192
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