| NPI | 1730488388 |
|---|---|
| Doing Business As | LEBANON RIDGE COMMUNITY HEALTH |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE CONCEPCION CEO 717-354-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2022-07-21 |