Nic 15 Pine Rock Manor Leasing LLC
NPI #1518383710 in Warner, New Hampshire
Provider Information
- NPI Number
- 1518383710
- Entity Type
- Organization
- Organization Name
- Nic 15 Pine Rock Manor Leasing LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 12, 2014
- Last Updated
- Mar 26, 2014
Practice Location
- Address
- 3 DENNY HILL RD
- City
- Warner
- State
- New Hampshire
- ZIP Code
- 03278-4505
- Phone
- (603) 456-3181
Authorized Official
- Name
- PAUL BOETHEL
- Title
- CEO
- Phone
- (469) 304-5033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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