Provider Demographics
NPI:1144462995
Name:CAMBRIA HEALTH CARE INC
Entity type:Organization
Organization Name:CAMBRIA HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:WIDENER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:469-323-6119
Mailing Address - Street 1:705 BRAY CENTRAL DR
Mailing Address - Street 2:SUITE 3104
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6370
Mailing Address - Country:US
Mailing Address - Phone:469-323-6119
Mailing Address - Fax:
Practice Address - Street 1:705 BRAY CENTRAL DR
Practice Address - Street 2:SUITE 3104
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6370
Practice Address - Country:US
Practice Address - Phone:469-323-6119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health