| NPI | 1083756399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT B EDGERTON Associate Executive Director 603-643-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NH 01775) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 310400000X Assisted Living Facility (Licence: NH 01954) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2017-04-27 |