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NPI Code Detail

MEDICARE: BLUE ASH HEALTH & REHAB LLC

MEDICARE: BLUE ASH HEALTH & REHAB 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 : 1356236905
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUE ASH HEALTH & REHAB LLC
Provider Business Mailing Address
First Line : PO BOX 1667
Second Line :
City : HICKORY
State : NC
Zip : 28603-1667
Country : US
Telephone Number : 828-324-8898
Fax Number :
Provider Business Practice Location Address
First Line : 4900 COOPER RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-6915
Country : US
Telephone Number : 513-793-3362
Fax Number :
Authorized Official
Title or Position : SOLE MEMBER
Name : BRYON D WOMACK
Credential :
Telephone Number : 828-334-5323
Provider Enumeration Date : 06/12/2025
Last Update Date : 06/12/2025

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Directions to “BLUE ASH HEALTH & REHAB LLC ” Practice Location

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