Mt. Lebanon Personal Care Home Inc.
NPI #1083697452 in Louisville, Kentucky
Provider Information
- NPI Number
- 1083697452
- Entity Type
- Organization
- Organization Name
- Mt. Lebanon Personal Care Home Inc.
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Nov 21, 2005
- Last Updated
- Jul 17, 2008
Practice Location
- Address
- 1015 MAGAZINE STREET
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40203
- Phone
- (502) 589-0727
Authorized Official
- Name
- MS. REGINA LOUISE LYONS, CMA, CFO
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (502) 589-0727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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