Organization
LAFAYETTE CONVALESCENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA MCDONNELL (CORPORATE BILLING MANAGER)
(978) 420-1500
Entity
Organization
Contact information
Practice address
25 LAFAYETTE ST, MARBLEHEAD, MA 01945-1939
(781) 631-4535
(781) 631-6400
Mailing address
25 LAFAYETTE ST, MARBLEHEAD, MA 01945-1939
(781) 631-4535
(781) 631-6400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0291
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0918849
—
MA
Enumeration date
10/04/2005
Last updated
08/22/2020
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