Organization
MT. LEBANON PERSONAL CARE HOME INC.
Active
Other names
DBA- James S Taylor Memorial Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA LOUISE LYONS CMA, CFO (CHIEF FINANCIAL OFFICER)
(502) 589-0727
Entity
Organization
Contact information
Practice address
1015 MAGAZINE STREET, LOUISVILLE, KY 40203
(502) 589-0727
(502) 589-3086
Mailing address
1015 MAGAZINE STREET, LOUISVILLE, KY 40203
(502) 589-0727
(502) 589-3086
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100536
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12502126
—
KY
Enumeration date
11/21/2005
Last updated
07/17/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us