| NPI | 1467575183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE OOTHOUDT Occupational Therapy Assistant 603-524-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NH 0519) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |