Healthcare Provider Details

I. General information

NPI: 1982534673
Provider Name (Legal Business Name): JOHNSON CREEK VILLAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 DURHAM RD
DOVER NH
03820-5322
US

IV. Provider business mailing address

301 DURHAM RD
DOVER NH
03820-5322
US

V. Phone/Fax

Practice location:
  • Phone: 603-842-4238
  • Fax: 603-740-1498
Mailing address:
  • Phone: 603-842-4238
  • Fax: 603-740-1498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. EROL DUYMAZLAR
Title or Position: OWNER/MANAGING MEMBER
Credential:
Phone: 603-937-1007