NPI 1033165766

Lebanon Residential, LLC

Organisation Assisted Living Facility Lebanon, MO

Practice location

Address: 1500 Lynn St, Lebanon, MO 65536-4409
Phone: (417) 532-9793
Mailing address: 1500 Lynn St, Lebanon, MO 65536-3828

Authorised official

Name: Kyle Timothy Schade
Title: Manager
Phone: (573) 471-1113

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1033165766
Entity type: Organization
NPI issued: 25 May 2006
Record last updated: 2 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.