Organization
LEBANON OPERATOR LLC
Active
Other names
Wilson Manor
Organization subpart
No
Provider details
NPI number
Authorized official
SAM ZARRABINIA (CFO)
(703) 815-5800
Entity
Organization
Contact information
Practice address
900 COLES FERRY PIKE, LEBANON, TN 37087-5677
(615) 443-7929
Mailing address
8000 WESTPARK DR STE 495, MC LEAN, VA 22102-3100
(703) 815-5800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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