The Village of Lebanon, LLC

NPI #1265515803 in Lebanon, Kentucky

Provider Information

NPI Number
1265515803
Entity Type
Organization
Organization Name
The Village of Lebanon, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 24, 2006
Last Updated
Apr 25, 2014

Practice Location

Address
337 S HARRISON ST
ZIP Code
40033-1150
Phone
(270) 692-3121

Authorized Official

Name
MR. TIMOTHY BLAND GEORGE
Title
MANAGING MEMBER
Phone
(502) 751-6823

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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