Organization
CC SNF LLC
Active
Other names
Covington Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE E WERTHEIM (MANAGER)
(917) 919-7204
Entity
Organization
Contact information
Practice address
75 MOTE DR, COVINGTON, OH 45318-1245
(937) 473-2075
(937) 473-2963
Mailing address
75 MOTE DR, COVINGTON, OH 45318-1245
(937) 473-2075
(937) 473-2963
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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