Organization · Type 2 NPI

Mt. Lebanon Personal Care Home Inc.

Nursing Facility/Intermediate Care Facility · Louisville, KY

NPI number 1083697452 Active

Practice location

1015 Magazine Street
Louisville, KY 40203

Fax (502) 589-3086

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility Primary	313M00000X	100536 (KY)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1083697452

Mt. Lebanon Personal Care Home Inc.'s National Provider Identifier is 1083697452, issued on Nov 21, 2005. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Louisville, KY. The record was last updated on Jul 17, 2008.