MEDICARE: SEACOAST HOSPICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	01903	NH

General Provider Information

NPI Number	:	1780650994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEACOAST HOSPICE

Provider Business Mailing Address
First Line	:	10 HAMPTON RD
Second Line	:
City	:	EXETER
State	:	NH
Zip	:	03833-4806
Country	:	US
Telephone Number	:	603-778-7393
Fax Number	:	603-778-7893

Provider Business Practice Location Address
First Line	:	10 HAMPTON RD
Second Line	:
City	:	EXETER
State	:	NH
Zip	:	03833-4806
Country	:	US
Telephone Number	:	603-778-7393
Fax Number	:	603-778-7893

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SUSAN E. COLE
Credential	:
Telephone Number	:	603-778-7391

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	08/22/2020

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Directions to “SEACOAST HOSPICE ” Practice Location

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