Healthcare Provider Details

I. General information

NPI: 1629536107
Provider Name (Legal Business Name): NASHUA ADULT DAY HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2019
Last Update Date: 03/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 DANIEL WEBSTER HWY STE 10
MERRIMACK NH
03054-4859
US

IV. Provider business mailing address

32 DANIEL WEBSTER HWY STE 10
MERRIMACK NH
03054-4859
US

V. Phone/Fax

Practice location:
  • Phone: 603-568-9237
  • Fax:
Mailing address:
  • Phone: 603-568-9237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KYLE WORTH
Title or Position: OWNER & EXECUTIVE DIRECTOR
Credential:
Phone: 603-568-9237