Organization
VANCREST OF NEW CARLISLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S MCCLEERY (CFO)
(419) 238-0715
Entity
Organization
Contact information
Practice address
1885 N DAYTON LAKEVIEW RD, NEW CARLISLE, OH 45344-8292
(937) 845-8219
(937) 845-2404
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
—
OH
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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