Organization
FAIRHAVEN OPCO LLC
Active
Other names
Royal of Fairhaven Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELI ROBERTS (AUTHORIZED REPRESENTATIVE)
(929) 645-0150
Entity
Organization
Contact information
Practice address
184 MAIN ST, FAIRHAVEN, MA 02719-3259
(508) 997-3193
Mailing address
277 ROUTE 70 STE 205, TOMS RIVER, NJ 08755-1569
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/09/2022
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