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NPI Code Detail

MEDICARE: LAKERIDGE ACRES NURSING & REHABILITATION CENTER LLC

MEDICARE: LAKERIDGE ACRES NURSING & REHABILITATION CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility5298OH

General Provider Information

NPI Number : 1407271299
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKERIDGE ACRES NURSING & REHABILITATION CENTER LLC
Provider Business Mailing Address
First Line : 7220 PIPPIN RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45239-4607
Country : US
Telephone Number : 513-729-2300
Fax Number : 513-728-7354
Provider Business Practice Location Address
First Line : 7220 PIPPIN RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45239-4607
Country : US
Telephone Number : 513-729-2300
Fax Number : 513-728-7354
Authorized Official
Title or Position : MANAGER
Name : HELENE MOSKOWITZ
Credential :
Telephone Number : 513-729-2300
Provider Enumeration Date : 03/03/2014
Last Update Date : 03/03/2014

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1346665700 — LAKERIDGE ACRES NURSING & REHABILITATION CENTER LLC
Practice Location Address:
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CINCINNATI, OH
45239-4607
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Practice Fax: 513-728-7354
1629493895 — HELENE MOSKOWITZ
Practice Location Address:
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1417843095 — BHAGYASHREE NARENDRA MHATRE
Practice Location Address:
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45239-4607
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Practice Fax:

Directions to “LAKERIDGE ACRES NURSING & REHABILITATION CENTER LLC ” Practice Location

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