Vancrest of Payne, LLC

NPI #1790113330 in Payne, Ohio

Provider Information

NPI Number: 1790113330
Entity Type: Organization
Organization Name: Vancrest of Payne, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Oct 17, 2013
Last Updated: Oct 17, 2013

Practice Location

Address: 650 N MAIN ST
City: Payne
State: Ohio
ZIP Code: 45880-9026
Phone: (419) 263-0191

Authorized Official

Name: MARK S MCCLEERY
Title: CFO
Phone: (419) 238-0715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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