Waters of Lebanon LLC

NPI #1629590310 in Lebanon, Indiana

Provider Information

NPI Number
1629590310
Entity Type
Organization
Organization Name
Waters of Lebanon LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 13, 2017
Last Updated
Jul 13, 2017

Practice Location

Address
1585 PERRY WORTH RD
State
Indiana
ZIP Code
46052-9635
Phone
(765) 482-6391

Authorized Official

Name
MOISHE GUBIN
Title
OWNER
Phone
(708) 449-1900

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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