Healthcare Provider Details
I. General information
NPI: 1659203305
Provider Name (Legal Business Name): PH LANDING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20 HARRINGTON RD
WESTMINSTER MA
01473-1521
US
IV. Provider business mailing address
20 HARRINGTON RD
WESTMINSTER MA
01473-1521
US
V. Phone/Fax
- Phone: 978-870-3671
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATHLEEN
ELIZABETH
DALTON
Title or Position: OWNER
Credential: DNP
Phone: 978-870-3671