Healthcare Provider Details

I. General information

NPI: 1114920568
Provider Name (Legal Business Name): RANNIE WEBSTER FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

795 WASHINGTON RD
RYE NH
03870-2318
US

IV. Provider business mailing address

795 WASHINGTON RD
RYE NH
03870-2318
US

V. Phone/Fax

Practice location:
  • Phone: 603-964-8144
  • Fax: 603-964-1483
Mailing address:
  • Phone: 603-964-8144
  • Fax: 603-964-1483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number01237
License Number StateNH

VIII. Authorized Official

Name: MR. THOMAS WILLIAM ARGUE
Title or Position: ADMINISTRATOR
Credential: NHA
Phone: 603-964-8144