Healthcare Provider Details

I. General information

NPI: 1134116718
Provider Name (Legal Business Name): BELKNAP COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2005
Last Update Date: 03/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 COUNTY DR
LACONIA NH
03246-2900
US

IV. Provider business mailing address

30 COUNTY DR
LACONIA NH
03246-2900
US

V. Phone/Fax

Practice location:
  • Phone: 603-527-5410
  • Fax: 603-527-5419
Mailing address:
  • Phone: 603-527-5410
  • Fax: 603-527-5419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number00089
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number00089
License Number StateNH

VIII. Authorized Official

Name: SHELLEY RICHARDSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 603-527-5410