| NPI | 1053319517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN L JURENTKUFF CFO 603-787-6971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NH 00214) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NH 1053319517) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2019-11-01 |