One Love Lane Operator LLC
NPI #1609392711 in South Dennis, Massachusetts
Provider Information
- NPI Number
- 1609392711
- Entity Type
- Organization
- Organization Name
- One Love Lane Operator LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 21, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1 LOVE LN
- City
- South Dennis
- State
- Massachusetts
- ZIP Code
- 02660-3445
- Phone
- (508) 385-6034
Authorized Official
- Name
- WILLIAM H STEPHAN
- Title
- CFO
- Phone
- (617) 943-7747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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