Organization
VAN RUE INC.
Active
Other names
Vancrest Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE EYANSON (ACCOUNTS RECEIVABLE MANAGER)
(419) 238-0715
Entity
Organization
Contact information
Practice address
10357 VAN WERT DECATUR RD, VAN WERT, OH 45891-9209
(419) 238-4646
(419) 238-5727
Mailing address
10357 VAN WERT DECATUR RD, VAN WERT, OH 45891-9209
(419) 238-4646
(419) 238-5727
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4994
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000157584
ANTHEM
OH
05
—
0147488
—
OH
Enumeration date
10/24/2006
Last updated
08/22/2020
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