| NPI | 1609143924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA E GOSSELIN Director 603-332-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NH 00118) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NH 00118) |
| 347C00000X Private Vehicle (Licence: NH 00118) | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |