Organization
VIAQUEST HEALTHCARE CENTRAL
Active
Other names
Evelyn Home
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY HOUSMAN (DIRECTOR OF BILLING)
(614) 339-0814
Entity
Organization
Contact information
Practice address
529 EVELYN AVENUE, MANSFIELD, OH 44907
(614) 339-0814
Mailing address
525 METRO PL N STE 300, DUBLIN, OH 43017-5320
(614) 339-0814
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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