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NPI Code Detail

MEDICARE: CAMBRIDGE HEALTH CARE LLC

MEDICARE: CAMBRIDGE HEALTH CARE 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 FacilityOH

General Provider Information

NPI Number : 1114344868
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMBRIDGE HEALTH CARE LLC
Provider Business Mailing Address
First Line : 1471 WILLS CREEK VALLEY DR
Second Line :
City : CAMBRIDGE
State : OH
Zip : 43725-8620
Country : US
Telephone Number : 740-439-4437
Fax Number : 740-439-2606
Provider Business Practice Location Address
First Line : 1471 WILLS CREEK VALLEY DR
Second Line :
City : CAMBRIDGE
State : OH
Zip : 43725-8620
Country : US
Telephone Number : 740-439-4437
Fax Number : 740-439-2606
Authorized Official
Title or Position : MANAGING MEMBER
Name : JUDAH BIENSTOCK
Credential :
Telephone Number : 314-631-3000
Provider Enumeration Date : 03/19/2014
Last Update Date : 12/02/2015

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Directions to “CAMBRIDGE HEALTH CARE LLC ” Practice Location

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