| NPI | 1285069369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA GRAS Program Manager 603-539-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NH 1503) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |