Shi-Iii Kingston LLC

NPI #1528628922 in Kingston, New Hampshire

Provider Information

NPI Number
1528628922
Entity Type
Organization
Organization Name
Shi-Iii Kingston LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 18, 2019
Last Updated
Aug 4, 2020

Practice Location

Address
193 MAIN STREET
Address 2
ALL AMERICAN AT KINGSTON
ZIP Code
03848
Phone
(603) 347-5522

Authorized Official

Name
MR. RAYMOND DIOGUARDI
Title
COO/CFO
Phone
(516) 496-1505

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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