Healthcare Provider Details

I. General information

NPI: 1356912133
Provider Name (Legal Business Name): UNITED CHURCH OF CHRIST RETIREMENT COMMUNITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2021
Last Update Date: 07/02/2021
Certification Date: 07/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 CHRISTIAN AVE
CONCORD NH
03301-6128
US

IV. Provider business mailing address

33 CHRISTIAN AVE
CONCORD NH
03301-6128
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-5363
  • Fax: 603-229-1292
Mailing address:
  • Phone: 603-224-5363
  • Fax: 603-227-1318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL A PALMIERI
Title or Position: PRESIDENT / CEO
Credential:
Phone: 603-229-1144