Organization
620A LAUREL STREET OPERATOR LLC
Active
Other names
The Landing at Laurel Lake
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM H STEPHAN (PRESIDENT)
(617) 943-7747
Entity
Organization
Contact information
Practice address
600 LAUREL ST, LEE, MA 01238-3800
(413) 243-4747
Mailing address
600 LAUREL ST, LEE, MA 01238-3800
(413) 243-4747
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MA
Other
Enumeration date
08/21/2017
Last updated
07/21/2022
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