Most Relevant Information
Provider Data
| NPI Number: | 1003436429 |
| Provider Name: | CRYSTAL K JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 253Z00000X |
| Specialty: | In Home Supportive Care |
| License Number: | 1831467 |
Most Important Dates
| Enumeration Date: | 04/26/2020 |
| Last Updated: | 04/26/2020 |
Provider Practice Location
894 E 223RD ST
EUCLID
OH
441233302
Practice Location Phone/Fax
| Phone: | |
| Fax: |
Provider Mailing Location
894 E 223RD ST
EUCLID
OH
441233302
Provider Mailing Phone/Fax
| Phone: | 2169243572 |
| Fax: |