Laurel Lake Health And Rehabilitation, L.L.C.
Skilled Nursing Facility in Lee, MA. Organization (NPI-2).
NPI number1619087525
StatusActive
Last updated in NPPESDec 12, 2017
Details
- NPI
- 1619087525
- Entity type
- Organization (NPI-2)
- Legal business name
- Laurel Lake Health And Rehabilitation, L.L.C.
- Organization subpart
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Dec 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 0008 | MA | Yes |
Other names
- Kindred Nursing And Rehabilitation-Laurel Lake (Doing Business As)
Practice location
620 Laurel StLee, MA 01238-9181
Phone 413-243-2010 · Fax 413-243-4288
Mailing address
680 S 4th St # Kh-2Louisville, KY 40202-2407
Authorized official
Marilyn A Weaver
Assistant Secretary
5025967563
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