Organization
VANCREST, LTD
Active
Other names
Vancrest Health Care Center of Delphos
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE EYANSON (ACCOUNTS RECEIVABLE MANAGER)
(419) 238-0715
Entity
Organization
Contact information
Practice address
1425 E 5TH ST, DELPHOS, OH 45833-9142
(419) 695-2871
(419) 692-0462
Mailing address
1425 E 5TH ST, DELPHOS, OH 45833-9142
(419) 695-2871
(419) 692-0462
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5358
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227781
ANTHEM
OH
05
—
2041445
—
OH
Enumeration date
10/13/2006
Last updated
08/22/2020
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