| NPI | 1417340613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANN ZIRKLE Regional Business Office Manager 603-703-8939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2023-07-14 |