Healthcare Provider Details

I. General information

NPI: 1902871064
Provider Name (Legal Business Name): VINTON CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 03/17/2020
Certification Date: 03/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31927 STATE ROUTE 93
MC ARTHUR OH
45651-8766
US

IV. Provider business mailing address

31927 STATE ROUTE 93
MC ARTHUR OH
45651-8766
US

V. Phone/Fax

Practice location:
  • Phone: 740-596-5233
  • Fax: 740-596-0142
Mailing address:
  • Phone: 740-596-5233
  • Fax: 740-596-0142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. GLENN THOMPSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 740-596-5233