Healthcare Provider Details
I. General information
NPI: 1598288755
Provider Name (Legal Business Name): LHLC OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/19/2017
Last Update Date: 06/02/2021
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2555 NORTERRE CIR
LIBERTY MO
64068-3412
US
IV. Provider business mailing address
2609 GLENN HENDREN DR STE G100
LIBERTY MO
64068-3313
US
V. Phone/Fax
- Phone: 816-479-4793
- Fax: 816-479-4793
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
C
TUTERA
Title or Position: MANAGER
Credential:
Phone: 816-444-0900