Organization
CEDAR RIDGE CARE AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALOM LICHTMAN (MEDICARE AUTHORIZED OFFICIAL)
(618) 537-6165
Entity
Organization
Contact information
Practice address
1 PERRYMAN ST, LEBANON, IL 62254-1356
(618) 537-6165
Mailing address
229 ROUTE 70 STE 100, TOMS RIVER, NJ 08755-1026
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
04/13/2026
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