Healthcare Provider Details

I. General information

NPI: 1255457909
Provider Name (Legal Business Name): TOWN OF SWANZEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SIMENEAU LN
SWANZEY NH
03446-3717
US

IV. Provider business mailing address

PO BOX 10009
SWANZEY NH
03446-0009
US

V. Phone/Fax

Practice location:
  • Phone: 603-352-2269
  • Fax: 603-352-8779
Mailing address:
  • Phone: 603-352-2269
  • Fax: 603-352-8779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number00836
License Number StateNH

VIII. Authorized Official

Name: MRS. DAWN E RICE
Title or Position: CARPENTER HOME ADMINISTRATOR
Credential: RN
Phone: 603-352-2269