| NPI | 1982214979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDINASIR S SHARIF Owner/Manager 603-937-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-16 |