# VANTAGE LTC LIMITED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073550042
- **Authorized official:** APRIL B ARCHACKI (REIMBURSEMENT SUPERVISOR)
- **Authorized official phone:** (814) 336-1301

## Contact information

- **Practice address:** 1305 S MAIN ST, MEADVILLE, PA 16335-3036
- **Practice address phone:** (814) 336-1301
- **Practice address fax:** (814) 336-1308
- **Mailing address:** 1305 S MAIN ST, MEADVILLE, PA 16335-3036
- **Mailing address phone:** (814) 336-1301
- **Mailing address fax:** (814) 336-1308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 02/09/2010