Organization
VOLUNTEERS OF AMERICA CARE FACILITIES
Active
Other names
Lost Creek Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NANCY GAVIN (ASSISTANT SECRETARY/TREASURER)
(952) 941-0305
Entity
Organization
Contact information
Practice address
804 S MUMAUGH RD, LIMA, OH 45804-3569
(419) 225-9040
(419) 225-9292
Mailing address
7485 OFFICE RIDGE CIR, EDEN PRAIRIE, MN 55344-3690
(952) 941-0305
(952) 941-0428
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6106
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000157634
BLUE CROSS BLUE SHIELD
—
05
—
0532454
—
OH
Enumeration date
07/13/2006
Last updated
02/05/2021
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