Healthcare Provider Details

I. General information

NPI: 1598543845
Provider Name (Legal Business Name): ALLCARE HEALTH & HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E MAIN ST STE 205
VAN WERT OH
45891-1735
US

IV. Provider business mailing address

111 E MAIN ST STE 205
VAN WERT OH
45891-1735
US

V. Phone/Fax

Practice location:
  • Phone: 419-210-5251
  • Fax: 970-238-8454
Mailing address:
  • Phone: 419-210-5251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: TARRA J WALTMIRE
Title or Position: CEO
Credential: CNP
Phone: 419-210-5251