Provider Demographics
NPI:1407348188
Name:CAMPBELLTOWN REHABILITATION & NURSING, LLC
Entity Type:Organization
Organization Name:CAMPBELLTOWN REHABILITATION & NURSING, LLC
Other - Org Name:KADIMA REHABILITATION & NURSING AT CAMPBELLTOWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-214-8889
Mailing Address - Street 1:2880 HORSESHOE PIKE
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078-9039
Mailing Address - Country:US
Mailing Address - Phone:717-838-2231
Mailing Address - Fax:717-838-2064
Practice Address - Street 1:2880 HORSESHOE PIKE
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:PA
Practice Address - Zip Code:17078-9039
Practice Address - Country:US
Practice Address - Phone:717-838-2231
Practice Address - Fax:717-838-2064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility