Healthcare Provider Details

I. General information

NPI: 1295499655
Provider Name (Legal Business Name): ARC OF NH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2021
Last Update Date: 10/22/2021
Certification Date: 10/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 SUBURBAN ACRES
NORTH SWANZEY NH
03431-4474
US

IV. Provider business mailing address

152 RICHMOND RD
TROY NH
03465-2401
US

V. Phone/Fax

Practice location:
  • Phone: 603-313-7178
  • Fax:
Mailing address:
  • Phone: 603-242-3375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. SIBYLLE HALL
Title or Position: PRESIDENT
Credential:
Phone: 603-242-3375