OrganizationActive
110 Fairfax Road Opco LLC
NPI 1083545255 · Skilled Nursing Facility · Saint Albans, VT
Provider details
- NPI number
- 1083545255
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Moshe Wyner, Cfo
Mailing address
290 Central Ave Ste 107
Lawrence, NY 11559-8507
Registry dates
- Enumerated
- 2026-05-27
- Last updated
- 2026-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.