Lebanon Terrace
Lebanon Terrace is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lebanon, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
221 E 3rd StLebanon, IL 62254-1668
Phone: (618) 537-4133
Fax: (618) 537-4156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 0038430 (IL) |
|---|
Record details
| NPI number | 1104945716 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donna Jones — Qmrp · (618) 537-4133 |
| NPI enumerated | March 28, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 221 E 3rd St, Lebanon, IL 62254-1668 |