Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lebanon

Organization PACE Provider Organization · NPI 1871428474

Lebanon is a PACE Provider Organization in Lebanon, Pennsylvania. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

113 S 9th St
Lebanon, PA 17042-5108
Phone: (717) 376-1133
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

PACE Provider Organization (primary) Taxonomy 251T00000X

Record details

NPI number1871428474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Leahy — Chief Financial Officer · (845) 235-6531
NPI enumeratedJune 15, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address225 Crossways Park Dr, Woodbury, NY 11797-2083

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