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General NPI Number Information
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NPI Number | 1972078293
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Entity Type | Organization
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Legal Business Name | CAMPBELL HOUSE, LLC
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Dates
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Enumeration Date | 10/13/2018
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Last Update Date | 01/19/2020
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Provider Practice Location Address
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Address Line | 164 OLD SPRINGFIELD RD
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City | CHARLESTOWN
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State | NH
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Zip | 03603-4504
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Country | US
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Telephone | 603-826-0840
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Fax | 603-826-0839
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Provider Business Mailing Address
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Address Line | 8 KAREN PL
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City | CLAREMONT
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State | NH
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Zip | 03743-4279
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Country | US
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Telephone | 603-953-5513
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Fax | 603-953-5513
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANN M CAMPBELL
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Credential |
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Telephone | 603-826-0840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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