Provider Demographics
NPI:1104651215
Name:CRAWFORD, TOYE L
Entity type:Individual
Prefix:
First Name:TOYE
Middle Name:L
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-2161
Mailing Address - Country:US
Mailing Address - Phone:248-892-1493
Mailing Address - Fax:
Practice Address - Street 1:37 WALNUT ST
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-2161
Practice Address - Country:US
Practice Address - Phone:248-892-1493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide