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Organization

CAMBRIDGE HOUSE OF MARYVILLE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAMELA JANE FELLOWS R.N. (ADMINISTRATOR)
(618) 288-2211
Entity
Organization

Contact information

Practice address
6960 STATE ROUTE 162, MARYVILLE, IL 62062-8532
(618) 288-2211
(618) 288-2299
Mailing address
6960 STATE ROUTE 162, MARYVILLE, IL 62062-8532
(618) 288-2211
(618) 288-2299

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
001
IL

Other

Enumeration date
06/29/2007
Last updated
07/21/2022
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