NPI 1083545255

110 Fairfax Road Opco LLC

Organisation Skilled Nursing Facility Saint Albans, VT

Practice location

Address: 110 Fairfax Rd, Saint Albans, VT 05478-6299
Phone: (516) 537-8689
Mailing address: 290 Central Ave STE 107, Lawrence, NY 11559-8507

Authorised official

Name: Moshe Wyner
Title: Cfo
Phone: (516) 846-0054

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Vermont →

Registry record

NPI: 1083545255
Entity type: Organization
NPI issued: 27 May 2026
Record last updated: 27 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.