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Organization

VILLAGE OF LEBANON II, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIM B GEORGE (MANAGER)
(502) 751-6823
Entity
Organization

Contact information

Practice address
105 VILLAGE WAY, LEBANON, KY 40033-1845
(270) 692-9000
(270) 699-3691
Mailing address
105 VILLAGE WAY, LEBANON, KY 40033-1845
(270) 692-9000
(270) 699-3691

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100646
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100236520
KY
Enumeration date
05/09/2007
Last updated
04/27/2018
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