Promedica Skilled Nursing And Rehabilitation (Lebanon)

LBN: Manor Care Of Lebanon Pa, Llc
Promedica Skilled Nursing And Rehabilitation (Lebanon) is an health care organization with primary practice located at 900 Tuck St , Lebanon PA 17042-7446. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Manor Care Of Lebanon Pa, Llc can be contacted via phone (717) 273-8595, or through Allen, Martin D via phone (419) 252-5743.

Contact Information

Primary practice address
900 Tuck St Lebanon PA 17042-7446
Phone: (717) 273-8595
Fax: (717) 272-8208
Website:
Map and Directions
Authorized official contact:
Name: Allen, Martin D
Phone: (419) 252-5743

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 905002 Pennsylvania

Profile Details

NPI number 1851330195
LBN Legal business name Manor Care Of Lebanon Pa, Llc
DBA Doing business as Promedica Skilled Nursing And Rehabilitation (Lebanon)
Authorized official Allen, Martin D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2006
Last updated Feb 9th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851330195 NPPES
Pennsylvania MEDICAID 1020612400001

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