NPI 1023869450

Crouch Enterprises, LLC

Organisation Preferred Provider Organization Crestline, OH

Practice location

Address: 501 Scott St, Crestline, OH 44827-1548
Phone: (614) 402-1270

Authorised official

Name: Rickie Edward Crouch
Title: Manager
Phone: (614) 402-1270

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1023869450
Entity type: Organization
NPI issued: 1 Apr 2024
Record last updated: 1 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.