Organization
HOLGATE CARE CENTER, LLC
Active
Other names
Vancrest Health Care Center of Holgate
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE EYANSON (ACCOUNTS RECEIVABLE MANAGER)
(419) 264-0700
Entity
Organization
Contact information
Practice address
600 JOE E BROWN AVE, HOLGATE, OH 43527-9803
(419) 264-0700
Mailing address
600 JOE E BROWN AVE, HOLGATE, OH 43527-9803
(419) 264-0700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6278
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216324
ANTHEM
OH
05
—
2366112
—
OH
Enumeration date
10/13/2006
Last updated
08/22/2020
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