| NPI | 1265821565 |
|---|---|
| Former Legal Business Name | CRYSTAL FERGUSON |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LEVETTE FERGUSON Independent Provider 513-693-5952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |