# CAMBRIDGE MANOR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902806490
- **Authorized official:** JOSEPH C TUTERA (PRESIDENT, CEO)
- **Authorized official phone:** (816) 444-0900

## Contact information

- **Practice address:** 8530 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-1927
- **Practice address phone:** (317) 876-9955
- **Practice address fax:** (317) 876-6016
- **Mailing address:** 8530 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-1927
- **Mailing address phone:** (317) 876-9955
- **Mailing address fax:** (317) 876-6016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 4549 | IN | Yes |

## Other

- **Enumeration date:** 07/26/2005
- **Last updated:** 08/22/2020