| NPI | 1942322037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN C FISKE President 603-224-8171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NH 02560) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: NH 02560) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-09-21 |