Healthcare Provider Details

I. General information

NPI: 1649271156
Provider Name (Legal Business Name): ROSS FUNERAL HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 W MAIN ST
LITTLETON NH
03561-3517
US

IV. Provider business mailing address

PO BOX 632
LITTLETON NH
03561-0632
US

V. Phone/Fax

Practice location:
  • Phone: 603-444-5377
  • Fax: 603-444-6636
Mailing address:
  • Phone: 603-444-5377
  • Fax: 603-444-6636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0065
License Number StateNH

VIII. Authorized Official

Name: TAMMY C ROSS-SMITH
Title or Position: CO-OWNER
Credential:
Phone: 603-444-5377