Healthcare Provider Details

I. General information

NPI: 1891216248
Provider Name (Legal Business Name): RIVERMEAD LIFECARE COMMUNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2017
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 RIVERMEAD RD
PETERBOROUGH NH
03458-1762
US

IV. Provider business mailing address

150 RIVERMEAD RD
PETERBOROUGH NH
03458-1788
US

V. Phone/Fax

Practice location:
  • Phone: 603-924-0033
  • Fax: 603-924-0033
Mailing address:
  • Phone: 603-924-0033
  • Fax: 603-924-7135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number02275
License Number StateNH

VIII. Authorized Official

Name: MISS ERIN ELISABETH JABLONSKI
Title or Position: DIRECTOR OF NURSING
Credential: APRN
Phone: 603-924-0033