Organization · Type 2 NPI

Lebanon Hco, LLC

Skilled Nursing Facility · Lebanon, IL

NPI number 1679550644 Active

Practice location

1201 N Alton St
Lebanon, IL 62254-1103

Mailing address

830 W Trailcreek Dr
Peoria, IL 61614-1862

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X0016964 (IL)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1679550644

Lebanon Hco, LLC's National Provider Identifier is 1679550644, issued on Dec 29, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Lebanon, IL. The record was last updated on Sep 11, 2020.