Lebanon Residential, LLC

NPI #1033165766 in Lebanon, Missouri

Provider Information

NPI Number
1033165766
Entity Type
Organization
Organization Name
Lebanon Residential, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
May 25, 2006
Last Updated
Feb 2, 2026

Practice Location

Address
1500 LYNN ST
ZIP Code
65536-4409
Phone
(417) 532-9793

Authorized Official

Name
KYLE TIMOTHY SCHADE
Title
MANAGER
Phone
(573) 471-1113

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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