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NPI Code Detail

MEDICARE: CAMDEN OPERATOR LLC

MEDICARE: CAMDEN OPERATOR 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 Facility008TN

General Provider Information

NPI Number : 1871664649
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMDEN OPERATOR LLC
Provider Business Mailing Address
First Line : 7400 NEW LA GRANGE RD
Second Line : SUITE 100
City : LOUISVILLE
State : KY
Zip : 40222-4870
Country : US
Telephone Number : 502-429-8062
Fax Number : 502-429-0650
Provider Business Practice Location Address
First Line : 197 HOSPITAL DR
Second Line :
City : CAMDEN
State : TN
Zip : 38320-1617
Country : US
Telephone Number : 731-584-3500
Fax Number : 731-584-2753
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. STACEY PAUL ROGERS
Credential :
Telephone Number : 502-429-8062
Provider Enumeration Date : 11/13/2006
Last Update Date : 04/13/2020

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Directions to “CAMDEN OPERATOR LLC ” Practice Location

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