Healthcare Provider Details

I. General information

NPI: 1619385531
Provider Name (Legal Business Name): BEDFORD NURSING & REHAB SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2014
Last Update Date: 07/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 DONALD ST
BEDFORD NH
03110-5945
US

IV. Provider business mailing address

480 DONALD ST
BEDFORD NH
03110-5945
US

V. Phone/Fax

Practice location:
  • Phone: 603-627-4147
  • Fax: 603-644-3716
Mailing address:
  • Phone: 603-627-4147
  • Fax: 603-644-3716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateNH

VIII. Authorized Official

Name: MR. JOHN MICHAEL TURCOTTE
Title or Position: MANAGER
Credential:
Phone: 603-622-4323