Organization
PENNY LANE ASSISTED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMSHED KHAN (MANAGING PARTNER)
(617) 319-2914
Entity
Organization
Contact information
Practice address
222 SOUTH ST, FITCHBURG, MA 01420-7939
(978) 343-7400
Mailing address
PO BOX 2063, FITCHBURG, MA 01420-0012
(978) 343-7400
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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