Organization
MASSACHUSETTS ASSISTED LIVING LLC
Active
Other names
The Village at Laurel Lake
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR L. ROTHGERBER (SENIOR VP OF REIMBURSEMENT)
(502) 596-7300
Entity
Organization
Contact information
Practice address
600 LAUREL ST, LEE, MA 01238-3800
(413) 243-4747
(413) 243-4604
Mailing address
600 LAUREL ST, LEE, MA 01238-3800
(413) 243-4747
(413) 243-4604
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1903870
—
MA
Enumeration date
04/13/2007
Last updated
08/22/2020
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