SearchOhio251E00000X

Crystal Shock, HOME HEALTH NON-AIDE

NPI 1336361120 · on the registry since 2007 · sole proprietor

Practice

Address
3183 State Route 229
Marengo, OH 43334
Phone
(740) 803-3488

Registry record

Primary taxonomy
251E00000X
251E00000X
Also registered as
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio