Organization
VLOP LLC
Active
Other names
VANCREST OF ST MARYS
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S MCCLEERY (CFO)
(419) 238-0715
Entity
Organization
Contact information
Practice address
1140 S KNOXVILLE AVE, SAINT MARYS, OH 45885-2609
(419) 394-3308
(419) 394-3300
Mailing address
120 W MAIN ST, SUITE 200, VAN WERT, OH 45891-1761
(419) 238-0715
(419) 238-4814
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103352
—
OH
Enumeration date
05/13/2014
Last updated
09/28/2015
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