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Organization
SUSAN MARTLOCK-J&S CARE ENTERPRISE
Active
Organization
SUSAN MARTLOCK-J&S CARE ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARTLOCK (ADMINISTRATOR)
(603) 345-1209
Entity
Organization
Contact information
Practice address
2 1ST ST, GORHAM, NH 03581-1007
(603) 345-1209
Mailing address
2 1ST ST, GORHAM, NH 03581-1007
(603) 345-1209
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
03799
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03799
NH DEPT. OF HEALTH AND HUMAN SERVICES - LICENSE
NH
Enumeration date
06/05/2012
Last updated
06/05/2012
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