| NPI | 1518417138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRIT P MALAVIYA Wise President/Program Director 603-233-0709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |