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NPI Code Detail

MEDICARE: 777 LAFAYETTE ROAD OPERATIONS LLC

MEDICARE: 777 LAFAYETTE ROAD OPERATIONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility03400NH

General Provider Information

NPI Number : 1659522266
Entity Type Code : Organization
Provider Name (Legal Business Name) : 777 LAFAYETTE ROAD OPERATIONS LLC
Provider Business Mailing Address
First Line : 777 LAFAYETTE RD
Second Line :
City : HAMPTON
State : NH
Zip : 03842-1228
Country : US
Telephone Number : 603-929-3032
Fax Number : 603-926-6238
Provider Business Practice Location Address
First Line : 777 LAFAYETTE RD
Second Line :
City : HAMPTON
State : NH
Zip : 03842-1228
Country : US
Telephone Number : 603-929-3032
Fax Number : 603-926-6238
Authorized Official
Title or Position : CORPORATE MANAGER
Name : JANE DROPESKEY
Credential :
Telephone Number : 610-925-4231
Provider Enumeration Date : 10/02/2008
Last Update Date : 11/14/2011

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Directions to “777 LAFAYETTE ROAD OPERATIONS LLC ” Practice Location

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