| NPI | 1205678638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORATHY MADUKA Administrator 603-820-2495 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |