Ti - Derry LLC
NPI #1235112012 in Derry, New Hampshire
Provider Information
- NPI Number
- 1235112012
- Entity Type
- Organization
- Organization Name
- Ti - Derry LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 25, 2005
- Last Updated
- Sep 29, 2008
Practice Location
- Address
- 20 CHESTER RD
- City
- Derry
- State
- New Hampshire
- ZIP Code
- 03038-1636
- Phone
- (603) 432-3801
Authorized Official
- Name
- JOSEPH C TUTERA
- Title
- OPERATOR
- Phone
- (816) 444-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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