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NPI Code Detail

MEDICARE: CAMDEN HEALTH AND REHABILITATION, LLC

MEDICARE: CAMDEN HEALTH AND REHABILITATION, 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 FacilityNH0624NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
234D1104341OTHERNCCLIA
3NC-AA 0000 3834OTHERNCNORTH CAROLINA CONTROLLED SUBSTANCES REGISTRATION NUMBER

General Provider Information

NPI Number : 1306372230
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMDEN HEALTH AND REHABILITATION, LLC
Provider Business Mailing Address
First Line : 1 MARITHE CT
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-2702
Country : US
Telephone Number : 336-852-9700
Fax Number : 919-882-9771
Provider Business Practice Location Address
First Line : 1 MARITHE CT
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-2702
Country : US
Telephone Number : 336-852-9700
Fax Number : 919-882-9771
Authorized Official
Title or Position : MANAGER
Name : CHRISTOPHER JOHN SPRENGER
Credential :
Telephone Number : 919-608-9123
Provider Enumeration Date : 05/11/2017
Last Update Date : 03/07/2023

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