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NPI Code Detail

MEDICARE: CAMBRIDGE HOME HEALTH CARE, INC. PRIVATE

MEDICARE: CAMBRIDGE HOME HEALTH CARE, INC. PRIVATE
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1114157021
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMBRIDGE HOME HEALTH CARE, INC. PRIVATE
Provider Business Mailing Address
First Line : 4085 EMBASSY PKWY
Second Line :
City : AKRON
State : OH
Zip : 44333-1781
Country : US
Telephone Number : 330-668-1922
Fax Number : 330-668-1060
Provider Business Practice Location Address
First Line : 2734 OAK RIDGE CT
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9369
Country : US
Telephone Number : 239-344-7420
Fax Number : 239-277-5665
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : NANCY J. DILLER SHIVELY
Credential :
Telephone Number : 330-668-1922
Provider Enumeration Date : 07/27/2009
Last Update Date : 07/27/2009

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