Grand Lake Operations
Assisted Living Facility in Saint Marys, OH. Organization (NPI-2).
NPI number1699326751
StatusActive
Last updated in NPPESMay 18, 2026
Details
- NPI
- 1699326751
- Entity type
- Organization (NPI-2)
- Legal business name
- Grand Lake Operations
- Organization subpart
- No
- Enumeration date
- Sep 20, 2019
- Certification date
- May 18, 2026
- Last updated
- May 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Vancrest Of St Marys (Doing Business As)
Practice location
1035 Hager StreetSaint Marys, OH 45885
Phone 419-394-3308 · Fax 419-394-3300
Mailing address
120 W Main St Ste 200Van Wert, OH 45891-1761
Phone 419-238-0715 · Fax 419-238-4814
Authorized official
Kyle Holliday
Asst Cfo
4192380715
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