| NPI | 1386976942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANNE LYNN PAGE Speech Language Pathologist 603-630-3576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NH P-0429) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |