Organization
REGIONAL CARE OF LEBANON SOUTH, LLC
Active
Other names
Christian Health and Rehabilitation of Lebanon South
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP CODY LONG (CFO)
(479) 464-0200
Entity
Organization
Contact information
Practice address
514 W FREMONT RD, LEBANON, MO 65536-4244
(417) 532-5351
(417) 532-7928
Mailing address
514 W FREMONT RD, LEBANON, MO 65536-4244
(417) 532-5351
(417) 532-7928
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
037172
MO
Other
Enumeration date
02/04/2011
Last updated
11/07/2014
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