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Mt. Lebanon Personal Care Home Inc.
Nursing Facility/Intermediate Care Facility in Louisville, Kentucky
NPI 1083697452

Mt. Lebanon Personal Care Home Inc. is a Nursing Facility/Intermediate Care Facility based in Louisville, KY. Mt. Lebanon Personal Care Home Inc. practices in Louisville, KY. The NPI Number for Mt. Lebanon Personal Care Home Inc. is 1083697452 and holds a License No. 100536 (Kentucky).

The current practice location address for Mt. Lebanon Personal Care Home Inc. is 1015 Magazine Street, Louisville, KY and can be reached out via phone at 502-589-0727 and via fax at 502-589-3086.

Location: 1015 Magazine Street, Louisville, KY, 40203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083697452
Provider Name
Mt. Lebanon Personal Care Home Inc.
Credential
Provider Entity Type
Organization
Address
1015 Magazine Street, Louisville, KY, 40203
Phone Number
502-589-0727
Fax Number
502-589-3086
Provider Enumeration Date
11/21/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
12502126 05 KY
institution
Provider Business Practice Location Address Details
Address
1015 Magazine Street
City
Louisville
State
Kentucky
Zip
40203
Phone Number
502-589-0727
Fax Number
502-589-3086
person
Provider Business Mailing Address Details
Address
1015 Magazine Street
City
Louisville
State
Kentucky
Zip
40203
Phone Number
502-589-0727
Fax Number
502-589-3086
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
100536 (Kentucky)
Definition
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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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