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Crystal Waller — NPI 1417365347, Cleveland, OH | NPI Central

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NPI 1417365347

OrganizationActive

Crystal Waller

NPI 1417365347 · Nursing Care Agency · Cleveland, OH

Provider details

NPI number: 1417365347
Entity type: Organization
Primary specialty: Nursing Care AgencyAgencies
Organization subpart: No
Authorized official: Crystal Waller, LPN(216) 609-9421
License: PN141935 (OH)

Specialties & taxonomies

Nursing Care AgencyPrimary251J00000XLicense PN141935 (OH)
Agencies

Practice location

3040 Charles Carr Pl

Cleveland, OH 44104-4106

Phone: (216) 609-9421

Approximate (ZIP-level) locationGet directions

More OH providers

Mailing address

3040 Charles Carr Pl

Cleveland, OH 44104-4106

Registry dates

Enumerated: 2014-07-23
Last updated: 2014-07-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.