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NPI Code Detail

MEDICARE: EHCS OAKHILL PROPERTIES, LLC

MEDICARE: EHCS OAKHILL PROPERTIES, 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 : 1255980876
Entity Type Code : Organization
Provider Name (Legal Business Name) : EHCS OAKHILL PROPERTIES, LLC
Provider Business Mailing Address
First Line : 428 LAKE LULU DR
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-4465
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4466 LYNNHAVEN AVE
Second Line :
City : LOUISVILLE
State : OH
Zip : 44641-9513
Country : US
Telephone Number : 330-875-5060
Fax Number :
Authorized Official
Title or Position : CFO
Name : BRIAN KUELL
Credential :
Telephone Number : 321-848-4141
Provider Enumeration Date : 09/06/2019
Last Update Date : 09/06/2019

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Directions to “EHCS OAKHILL PROPERTIES, LLC ” Practice Location

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