620A Laurel Street Operator LLC
Organization Active NPI Skilled Nursing Facility · Lee, MA
NPI 1134645245 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1134645245
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 620A LAUREL STREET OPERATOR LLC
- Practice address
- 600 Laurel St
Lee, MA 01238-3800 - Phone
- (413) 243-4747
- NPI assigned
- Aug 21, 2017
- Organization subpart
- No
Authorized official
- Name
- William H Stephan
- Title
- President
- Phone
- (617) 943-7747
Practitioners 2
-
Jonathan Ross Aronoff, PH.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | MA | Yes |
Addresses
Primary practice location
600 Laurel St
Lee, MA 01238-3800
Mailing address
600 Laurel St
Lee, MA 01238-3800
Phone (413) 243-4747
Other names
- The Landing at Laurel Lake
Other providers in Lee, MA
- 620 Laurel Street Operator LLC
- Bridgett Cynthia Fallon Allen
- Naomi F Alson
- Berkshire ABA LLC
- Berkshire County Arc, Inc.
- Berkshire Home Care Inc
All providers in Lee, MA · Skilled Nursing Facility in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.