Healthcare Provider Details

I. General information

NPI: 1912795204
Provider Name (Legal Business Name): J & D FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 PARKER RD
CARROLL NH
03598-4334
US

IV. Provider business mailing address

462 PARKER RD
CARROLL NH
03598-4334
US

V. Phone/Fax

Practice location:
  • Phone: 603-728-5431
  • Fax: 603-728-5431
Mailing address:
  • Phone: 603-728-5431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY PELLETIER
Title or Position: CEO
Credential:
Phone: 603-728-5431