Lebanon Hco, LLC
NPI #1679550644 in Lebanon, Illinois
Provider Information
- NPI Number
- 1679550644
- Entity Type
- Organization
- Organization Name
- Lebanon Hco, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 29, 2005
- Last Updated
- Sep 11, 2020
Practice Location
Authorized Official
- Name
- MARK B. PETERSEN
- Title
- MANAGER
- Phone
- (309) 689-5880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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