NPI 1134645245 · live from the CMS NPI Registry
620a Laurel Street Operator LLC
Skilled Nursing Facility in Lee, MA. National Provider Identifier 1134645245, active.
NPI record
| NPI | 1134645245 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 600 Laurel St, Lee, MA 01238 |
| Practice phone | 413-243-4747 |
| Enumerated | August 21, 2017 |
| Last updated | July 21, 2022 |
| Authorized official | William Stephan, President |
| Other names | The Landing At Laurel Lake |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.