Organization · Type 2 NPI

110 Fairfax Road Opco LLC

Skilled Nursing Facility · St. Albans, VT

NPI number 1083545255 Active

Practice location

110 Fairfax Rd
St. Albans, VT 05478-6299

Call (516) 537-8689 Map

Mailing address

290 Central Ave Ste 107
Lawrence, NY 11559-8507

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1083545255

110 Fairfax Road Opco LLC's National Provider Identifier is 1083545255, issued on May 27, 2026. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in St. Albans, VT. The record was last updated on May 27, 2026.