Mt. Lebanon Personal Care Home Inc.

NPI 1083697452 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1083697452
Enumeration Date 11/21/2005
Last Updated 07/17/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name REGINA LOUISE REGINA
Position CHIEF FINANCIAL OFFICER
Phone (502) 589-0727
Fax (502) 589-3086
Practice Location
1015 MAGAZINE STREET
LOUISVILLE KY, 40203, US
Phone (502) 589-0727
Fax (502) 589-3086
Business Location
1015 MAGAZINE STREET
LOUISVILLE KY, 40203, US
Phone (502) 589-0727
Fax (502) 589-3086
Toxanomy
Taxonomy Code 313M00000X
License State Kentucky
License Number 100536
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According to our database, Mt. Lebanon Personal Care Home Inc. NPI is 1083697452, taxonomy code is 313M00000X and license number is 100536, license state is located at Kentucky. Mt. Lebanon Personal Care Home Inc. physically located at 1015 Magazine Street, Louisville KY, 40203. NPI Number 1033115704 has the healthcare provider type.

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1083697452 NPI number is provided on an as is basis without warranty of any kind. 1083697452 is maintained by the National Plan & Provider Enumeration System. The contents of Mt. Lebanon Personal Care Home Inc. are for informational purposes only.