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NPI Code Detail

MEDICARE: BLOOMSBURG CARE AND REHABILITATION CENTER, LLC

MEDICARE: BLOOMSBURG CARE AND REHABILITATION CENTER, 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 : 1942709969
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLOOMSBURG CARE AND REHABILITATION CENTER, LLC
Provider Business Mailing Address
First Line : 211 E 1ST ST
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-1405
Country : US
Telephone Number : 570-784-5930
Fax Number :
Provider Business Practice Location Address
First Line : 211 E 1ST ST
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-1405
Country : US
Telephone Number : 570-784-5930
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : MR. CHAIM SCHEINBAUM
Credential :
Telephone Number : 908-278-0987
Provider Enumeration Date : 02/05/2018
Last Update Date : 02/05/2018

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