OrganizationActive
11 Dairy Lane Operations LLC
NPI 1982885406 · Skilled Nursing Facility · Fredericksburg, VA
Provider details
- NPI number
- 1982885406
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Michael Berg, Corporate Secretary
- License
- NH2735 (VA)
Practice location
11 Dairy Ln
Fredericksburg, VA 22405-2663
Phone: (540) 371-9414
Fax: (540) 371-4501
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Registry dates
- Enumerated
- 2007-11-27
- Last updated
- 2025-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.