| Angel Intervention Services LLC | |
|
123 S Washington St Van Wert OH 45891-1707 | |
| (419) 771-1050 | |
| Not Available |
| Full Name | Angel Intervention Services LLC |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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