| NPI | 1659369072 |
|---|---|
| Doing Business As | THE WATERS OF LEBANON |
| Entity Type | Organization |
| Authorized Contact | KEVIN SPEER CEO/President 317-745-4451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 04-000118-1) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2018-04-17 |