Fairhaven Opco LLC
NPI #1033827076 in Fairhaven, Massachusetts
Provider Information
- NPI Number
- 1033827076
- Entity Type
- Organization
- Organization Name
- Fairhaven Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 8, 2022
- Last Updated
- Nov 9, 2022
Practice Location
- Address
- 184 MAIN ST
- City
- Fairhaven
- State
- Massachusetts
- ZIP Code
- 02719-3259
- Phone
- (508) 997-3193
Authorized Official
- Name
- ELI ROBERTS
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (929) 645-0150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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