Organization
VIAQUEST HEALTHCARE CENTRAL
Active
Other names
Massillon 1620
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY HOUSMAN (DIRECTOR OF BILLING)
(614) 339-0814
Entity
Organization
Contact information
Practice address
1620 FOREST AVE SE, MASSILLON, OH 44646-8330
(614) 339-0814
Mailing address
525 METRO PL N STE 300, DUBLIN, OH 43017-5320
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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