| NPI | 1811650450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL IKEMIRE CEO 603-247-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251E00000X Home Health |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2021-10-20 |