Organization
CAMBRIDGE HOUSE OF SWANSEA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE BOHANNON-SMITH (ADMINISTRATOR)
(618) 234-8910
Entity
Organization
Contact information
Practice address
3900 SULLIVAN DR., SWANSEA, IL 62226
(618) 234-8910
(618) 234-8920
Mailing address
3900 SULLIVAN DR., SWANSEA, IL 62226
(618) 234-8910
(618) 234-8920
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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