Organization
VANCREST, LTD
Active
Other names
Vancrest Health Care of Eaton
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE HOLLIDAY (ASST CFO)
(419) 238-0715
Entity
Organization
Contact information
Practice address
1600 PARK AVE, EATON, OH 45320-8678
(937) 456-3010
Mailing address
120 W MAIN ST STE 200, VAN WERT, OH 45891-1761
(419) 238-0715
(419) 238-4814
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000297599
ANTHEM
OH
05
—
2033490
—
OH
Enumeration date
10/13/2006
Last updated
05/19/2026
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