11 DAIRY LANE OPCO, LLC
Organization (NPI-2)
Active
Skilled Nursing Facility
Provider Information
- NPI Number
1508712829- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 11 DAIRY LN, FREDERICKSBURG, VA, 224052663
- Phone
- (323) 928-9445
Specialties & Taxonomies
Skilled Nursing Facility
Primary
All Addresses
MAILING
9526 W PICO BLVD
LOS ANGELES, CA, 900351202