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Crystal Willis
Attendant Care Provider in Greenwood, Indiana
NPI 1093575102

Crystal Willis is an Attendant Care Provider based in Greenwood, IN and is specialized in Attendant Care Provider. Crystal Willis practices in Greenwood, IN. The NPI Number for Crystal Willis is 1093575102 and holds a License No. 300079808 (Indiana).

The current practice location address for Crystal Willis is 1263 Odell Ln, Greenwood, IN and can be reached out via phone at 317-794-6979.

Location: 1263 Odell Ln, Greenwood, IN, 46143-7966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093575102
Provider Name
Crystal Willis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1263 Odell Ln, Greenwood, IN, 46143-7966
Phone Number
317-794-6979
Fax Number
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1263 Odell Ln
City
Greenwood
State
Indiana
Zip
46143-7966
Phone Number
317-794-6979
Fax Number
person
Provider Business Mailing Address Details
Address
1263 Odell Ln
City
Greenwood
State
Indiana
Zip
46143-7966
Phone Number
317-794-6979
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
300079808 (Indiana)
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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