Healthcare Provider Details

I. General information

NPI: 1336726496
Provider Name (Legal Business Name): FARMSTEADS OF NEW ENGLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 03/25/2021
Certification Date: 10/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 CENTER RD
HILLSBOROUGH NH
03244-4823
US

IV. Provider business mailing address

213 CENTER RD
HILLSBOROUGH NH
03244-4823
US

V. Phone/Fax

Practice location:
  • Phone: 603-464-2590
  • Fax:
Mailing address:
  • Phone: 603-464-2590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH DESCENZA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 603-464-2590