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NPI Code Detail

MEDICARE: OTTERBEIN CORTLAND LLC

MEDICARE: OTTERBEIN CORTLAND 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 Facility

General Provider Information

NPI Number : 1174487250
Entity Type Code : Organization
Provider Name (Legal Business Name) : OTTERBEIN CORTLAND LLC
Provider Business Mailing Address
First Line : 3855 LOWER MARKET ST STE 300
Second Line :
City : LEBANON
State : OH
Zip : 45036-7654
Country : US
Telephone Number : 513-932-2020
Fax Number :
Provider Business Practice Location Address
First Line : 303 N MECCA ST
Second Line :
City : CORTLAND
State : OH
Zip : 44410-1074
Country : US
Telephone Number : 513-932-2020
Fax Number :
Authorized Official
Title or Position : AVP OF FINANCE
Name : AMBER SWORDS
Credential :
Telephone Number : 937-508-1693
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/30/2025

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Directions to “OTTERBEIN CORTLAND LLC ” Practice Location

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