# THE VILLAGE OF LEBANON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedars of Lebanon Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265515803
- **Authorized official:** MR. TIMOTHY BLAND GEORGE (MANAGING MEMBER)
- **Authorized official phone:** (502) 751-6823

## Contact information

- **Practice address:** 337 S HARRISON ST, LEBANON, KY 40033-1150
- **Practice address phone:** (270) 692-3121
- **Practice address fax:** (270) 692-6217
- **Mailing address:** 337 S HARRISON ST, LEBANON, KY 40033-1150
- **Mailing address phone:** (270) 692-3121
- **Mailing address fax:** (270) 692-6217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100325 | KY | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 04/25/2014