Organization
VANCREST OF UPPER SANDUSKY LLC
Active
Other names
Vancrest of Upper Sandusky
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WHITE (PRESIDENT)
(419) 238-0715
Entity
Organization
Contact information
Practice address
850 MARSEILLES AVE, UPPER SANDUSKY, OH 43351-1648
(419) 294-4973
(419) 294-4975
Mailing address
850 MARSEILLES AVE, UPPER SANDUSKY, OH 43351-1648
(419) 294-4973
(419) 294-4975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1116N
LICENSURE
OH
Enumeration date
05/05/2023
Last updated
05/05/2023
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