Healthcare Provider Details

I. General information

NPI: 1841125713
Provider Name (Legal Business Name): AQ FVM NH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 PARADE RD
MEREDITH NH
03253-5401
US

IV. Provider business mailing address

153 PARADE RD
MEREDITH NH
03253-5401
US

V. Phone/Fax

Practice location:
  • Phone: 603-279-3121
  • Fax: 603-279-7300
Mailing address:
  • Phone: 603-279-3121
  • Fax: 603-279-7300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: BEN GRAY
Title or Position: AUTHORIZED PERSON
Credential:
Phone: 312-404-9800