Organization
VL OPCO LLC
Active
Other names
Village of Lebanon
Organization subpart
No
Provider details
NPI number
Authorized official
MATT NUSSBAUM (OWNER)
(212) 653-8730
Entity
Organization
Contact information
Practice address
105 VILLAGE WAY, LEBANON, KY 40033-1845
(270) 692-9000
Mailing address
5140 US HIGHWAY 9, HOWELL, NJ 07731-3357
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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