| NPI | 1447247325 |
|---|---|
| Former Legal Business Name | ST TERESA |
| Entity Type | Organization |
| Authorized Contact | KAREN ANN ZIRKLE Regional Business Office Manager 603-703-8939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NH 00581) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2019-10-07 |