Organization
N & R OF LEBANON SOUTH LLC
Active
Other names
LEBANON SOUTH NURSING & REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA HEDRICK CFO (CFO)
(573) 481-9625
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
041373
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102762408
—
MO
Enumeration date
12/01/2014
Last updated
09/15/2025
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