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 |