Healthcare Provider Details

I. General information

NPI: 1275965618
Provider Name (Legal Business Name): SENIOR CLASS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2013
Last Update Date: 05/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 STATE ROUTE 111
HAMPSTEAD NH
03841-5354
US

IV. Provider business mailing address

201 STATE ROUTE 111
HAMPSTEAD NH
03841-5354
US

V. Phone/Fax

Practice location:
  • Phone: 603-329-4401
  • Fax: 603-329-4460
Mailing address:
  • Phone: 603-329-4401
  • Fax: 603-329-4460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number03209
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNH

VIII. Authorized Official

Name: MS. LINDA STEIR
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential:
Phone: 603-329-4401