NPI 1366253387

Genesis Healthcare Center LLC

Organisation Assisted Living Facility Lebanon, MO

Practice location

Address: 25466 N Highway 5, Lebanon, MO 65536-6294
Phone: (417) 830-4420
Mailing address: PO Box 836, Hannibal, MO 63401-0836

Authorised official

Name: Joshua Williams
Title: Authorized Person
Phone: (573) 795-5012

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1366253387
Entity type: Organization
NPI issued: 17 Jan 2025
Record last updated: 17 Jan 2025

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.