Organization
VINCENNES OPERATOR, LLC
Active
Other names
Crestview Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN CRAIG TSCHUDI (MANAGING MEMBER)
(502) 429-8062
Entity
Organization
Contact information
Practice address
3801 OLD BRUCEVILLE RD, BOX 216, VINCENNES, IN 47591-3889
(812) 882-1783
Mailing address
7400 NEW LAGRANGE RD, SUITE 100, LOUISVILLE, KY 40222-4870
(502) 429-8062
(502) 429-5980
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6295
IN
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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