Healthcare Provider Details

I. General information

NPI: 1346463718
Provider Name (Legal Business Name): SEASIDE ELDERLY DAY OUT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441R LAFAYETTE RD
HAMPTON NH
03842-2241
US

IV. Provider business mailing address

441R LAFAYETTE RD
HAMPTON NH
03842-2241
US

V. Phone/Fax

Practice location:
  • Phone: 603-929-5988
  • Fax:
Mailing address:
  • Phone: 603-929-5988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number02740
License Number StateNH

VIII. Authorized Official

Name: MRS. SUSAN ARMSTRONG
Title or Position: PRESIDENT
Credential: RN
Phone: 603-929-5988