Healthcare Provider Details

I. General information

NPI: 1831775634
Provider Name (Legal Business Name): PLUS CO. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 12/20/2022
Certification Date: 12/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 CHESTNUT ST
NASHUA NH
03060-3463
US

IV. Provider business mailing address

19 CHESTNUT ST
NASHUA NH
03060-3463
US

V. Phone/Fax

Practice location:
  • Phone: 603-889-0652
  • Fax: 603-883-2426
Mailing address:
  • Phone: 603-889-0652
  • Fax: 603-883-2426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. KIM SHOTTES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 603-889-0652