Organization
VANCREST OF NEW CARLISLE LLC
Active
Other names
BELLE MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK STUART MCCLEERY (CFO)
(419) 238-0715
Entity
Organization
Contact information
Practice address
120 W MAIN ST, SUITE 200, VAN WERT, OH 45891-1761
(419) 238-0715
Mailing address
107 N PIKE ST, NEW CARLISLE, OH 45344-1817
(937) 845-3561
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/08/2014
Last updated
02/08/2014
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