Individual ProviderCrystal Nicole FieldsCommunity/Behavioral HealthAgenciesPractice Address830 N Summit St Ste 2, Toledo, OH 43604-1884(419) 693-9600PECOS EnrollmentBased on the most recent information from CMS, provider Crystal Nicole Fields does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1194384313Provider TypeIndividualFull NameFields, Crystal NicoleCredentialQMHS-BACHELORGenderFemaleSole ProprietorYesEnumeration Date6/11/2019Last Updated6/11/2019Contact InformationPractice LocationPractice Address830 N Summit St Ste 2, Toledo, OH 43604-1884Phone(419) 693-9600Fax(419) 693-9650Mailing LocationMailing Address830 N Summit St Ste 2, Toledo, OH 43604-1884Phone(419) 693-9600Fax(419) 693-9650Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer