| NPI | 1043207566 |
|---|---|
| Doing Business As | EXTENDED CARE FACILITY |
| Entity Type | Organization |
| Authorized Contact | HARRY G DORMAN President/CEO 603-448-3121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NH 0016A) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NH 0016A) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NH 0016A) | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2010-02-02 |