| NPI | 1790177749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCRETIA E THOMPSON Individual Home Care Provider 603-617-2847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NH 10207) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-02-27 |