Viaquest Healthcare Central

NPI #1164020616 in Madison, Ohio

Provider Information

NPI Number: 1164020616
Entity Type: Organization
Organization Name: Viaquest Healthcare Central
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Oct 15, 2020
Last Updated: Oct 15, 2020

Practice Location

Address: 6873 DAVE DR
City: Madison
State: Ohio
ZIP Code: 44057-1105
Phone: (614) 339-0814

Authorized Official

Name: NANCY HOUSMAN
Title: DIRECTOR OF BILLING
Phone: (614) 339-0814

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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