Healthcare Provider Details

I. General information

NPI: 1831791292
Provider Name (Legal Business Name): PEAK HEALTHCARE AT KEENE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2020
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

298 MAIN ST
KEENE NH
03431-4145
US

IV. Provider business mailing address

298 MAIN ST
KEENE NH
03431-4145
US

V. Phone/Fax

Practice location:
  • Phone: 603-431-2530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ZISHA MARGULIES
Title or Position: CEO
Credential:
Phone: 718-942-3483