# VINCENNES OPERATOR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crestview Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407927098
- **Authorized official:** MR. ALLEN CRAIG TSCHUDI (MANAGING MEMBER)
- **Authorized official phone:** (502) 429-8062

## Contact information

- **Practice address:** 3801 OLD BRUCEVILLE RD, BOX 216, VINCENNES, IN 47591-3889
- **Practice address phone:** (812) 882-1783
- **Mailing address:** 7400 NEW LAGRANGE RD, SUITE 100, LOUISVILLE, KY 40222-4870
- **Mailing address phone:** (502) 429-8062
- **Mailing address fax:** (502) 429-5980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 6295 | IN | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 08/22/2020