Organization
LAWRENCE MANOR LLC
Active
Other names
Lawrence Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRENCE M O'CONNELL (OWNER ADMINISTRATOR)
(781) 595-5553
Entity
Organization
Contact information
Practice address
26 HENRY AVE, LYNN, MA 01902-4008
(781) 595-5553
(781) 596-3636
Mailing address
26 HENRY AVE, LYNN, MA 01902-4008
(781) 595-5553
(781) 596-3636
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1887
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0926116
—
MA
Enumeration date
09/30/2005
Last updated
05/09/2008
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