# MT. LEBANON SENIOR CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184894263
- **Authorized official:** MICHAEL K BEAVER (PRESIDENT & SECRETARY)
- **Authorized official phone:** (717) 591-5700

## Contact information

- **Practice address:** 1300 BOWER HILL RD, PITTSBURGH, PA 15243-1388
- **Practice address phone:** (412) 278-1300
- **Practice address fax:** (412) 279-4719
- **Mailing address:** 1300 BOWER HILL RD, PITTSBURGH, PA 15243-1388
- **Mailing address phone:** (412) 278-1300
- **Mailing address fax:** (412) 279-4719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2008
- **Last updated:** 03/05/2008
