Organization
CAMBRIDGE MANOR, LLC
Active
Other names
CAMBRIDGE MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH C TUTERA (OWNER OPERATOR)
(816) 444-0900
Entity
Organization
Contact information
Practice address
8530 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-1927
(317) 876-9955
(317) 876-6016
Mailing address
8530 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-1927
(317) 876-9955
(317) 876-6016
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267690B
—
IN
Enumeration date
03/27/2012
Last updated
03/27/2012
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