Regional Care of Lebanon South, LLC

NPI #1043516222 in Lebanon, Missouri

Provider Information

NPI Number
1043516222
Entity Type
Organization
Organization Name
Regional Care of Lebanon South, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 4, 2011
Last Updated
Nov 7, 2014

Practice Location

Address
514 W FREMONT RD
ZIP Code
65536-4244
Phone
(417) 532-5351

Authorized Official

Name
MR. PHILLIP CODY LONG
Title
CFO
Phone
(479) 464-0200

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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