Village of Lebanon Ii, LLC

NPI #1649484015 in Lebanon, Kentucky

Provider Information

NPI Number
1649484015
Entity Type
Organization
Organization Name
Village of Lebanon Ii, LLC
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
May 9, 2007
Last Updated
Apr 27, 2018

Practice Location

Address
105 VILLAGE WAY
ZIP Code
40033-1845
Phone
(270) 692-9000

Authorized Official

Name
TIM B GEORGE
Title
MANAGER
Phone
(502) 751-6823

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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Provider Name
Commonwealth of Kentucky

Part of Commonwealth of Kentucky

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