Vancrest Of Payne, Llc

NPI 1790113330 - Assisted Living Facility - 310400000X

NPI Details
NPI 1790113330
Enumeration Date 10/17/2013
Last Updated 10/17/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MARK S MARK
Position CFO
Phone (419) 263-0191
Fax (419) 263-0193
Practice Location
650 N MAIN ST
PAYNE OH, 45880-9026, US
Phone (419) 263-0191
Fax (419) 263-0193
Business Location
120 W MAIN ST
SUITE 200
VAN WERT OH, 45891-1761, US
Phone (419) 238-0715
Fax (419) 238-4814
Toxanomy
Taxonomy Code 310400000X
License State
License Number
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According to our database, Vancrest Of Payne, Llc NPI is 1790113330, taxonomy code is 310400000X Vancrest Of Payne, Llc physically located at 650 N Main St, Payne OH, 45880-9026. NPI Number 1033115704 has the healthcare provider type.

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1790113330 NPI number is provided on an as is basis without warranty of any kind. 1790113330 is maintained by the National Plan & Provider Enumeration System. The contents of Vancrest Of Payne, Llc are for informational purposes only.