Lebanon Hco, Llc in Lebanon - Skilled Nursing Facility
Lebanon Hco, Llc - NPI 1679550644
Lebanon Hco, Llc is a Skilled Nursing Facility in Lebanon, Illinois. Lebanon Hco, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Lebanon Hco, Llc is 1679550644. The last update date is 2020-09-11.
Lebanon Hco, Llc's current location address is 1201 N Alton St, Lebanon, Illinois. You can contact this provider via phone number 6185374401. The mailing address for Lebanon Hco, Llc is 1201 N Alton St, Lebanon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lebanon Hco, Llc |
|---|---|
| Address | 1201 N Alton St, Lebanon, Illinois |
| Phone Number | 6185374401 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Petersen B. Mark |
| Telephone Number | 3096895880 |
NPI Number Detail
| NPI Number | 1679550644 |
|---|---|
| Provider Enumeration Date | 2005-12-29 |
| Last Updated Date | 2020-09-11 |
Provider Mailing Address Detail
| Address | 1201 N Alton St |
|---|---|
| City | Lebanon |
| State | Illinois (IL) |
| Post Code | 622541103 |
| Phone Number | 6185374401 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 16964 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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What is the unique provider identifier assigned to Lebanon Hco, Llc?
The Lebanon Hco, Llc has been issued the NPI (National Provider Identifier) 1679550644 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Lebanon Hco, Llc is located?
The Lebanon Hco, Llc is situated at the following address: 1201 N Alton St, Lebanon, IL, 622541103.
What is Lebanon Hco, Llc's area of expertise and its corresponding taxonomy classification?
The Lebanon Hco, Llc's field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1679550644 to Lebanon Hco, Llc?
The Centers for Medicare & Medicaid Services assigned the 1679550644 to Lebanon Hco, Llc on 2005-12-29.
As of what date were the Lebanon Hco, Llc's details last updated?
The information pertaining to the Lebanon Hco, Llc, including its address, specialty, and other details, was most recently updated on 2020-09-11.