Organization
REGIONAL CARE OF LEBANON NORTH, LLC
Active
Other names
Christian Health and Rehabilitation of Lebanon North
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP CODY LONG (CFO)
(479) 464-0200
Entity
Organization
Contact information
Practice address
596 MORTON RD, LEBANON, MO 65536-3648
(417) 532-9173
(417) 532-8223
Mailing address
222 S 1ST ST, ROGERS, AR 72756-4504
(479) 464-0200
(479) 464-8098
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
037775
MO
Other
Enumeration date
02/04/2011
Last updated
11/07/2014
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