Angel Intervention Services Llc | |
123 S Washington St Van Wert OH 45891-1707 | |
(419) 771-1050 | |
Not Available |
Full Name | Angel Intervention Services Llc |
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Speciality | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) |
Location | 123 S Washington St, Van Wert, Ohio |
Authorized Official Name and Position | Holly Lyn Conklin (CEO/OWNER) |
Authorized Official Contact | 9185002570 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Angel Intervention Services Llc 123 S Washington St Van Wert OH 45891-1707 Ph: (800) 430-2995 | Angel Intervention Services Llc 123 S Washington St Van Wert OH 45891-1707 Ph: (419) 771-1050 |
NPI Number | 1801311121 |
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Provider Enumeration Date | 08/08/2017 |
Last Update Date | 07/12/2023 |
Certification Date | 07/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801311121 | NPI | - | NPPES |
0427664 | Medicaid | OH |
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