# BELKNAP COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Belknap County Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134116718
- **Authorized official:** SHELLEY RICHARDSON (ADMINISTRATOR)
- **Authorized official phone:** (603) 527-5410

## Contact information

- **Practice address:** 30 COUNTY DR, LACONIA, NH 03246-2900
- **Practice address phone:** (603) 527-5410
- **Practice address fax:** (603) 527-5419
- **Mailing address:** 30 COUNTY DR, LACONIA, NH 03246-2900
- **Mailing address phone:** (603) 527-5410
- **Mailing address fax:** (603) 527-5419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 00089 | NH | Yes |
| 314000000X | Skilled Nursing Facility | 00089 | NH | — |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 03/07/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30102355 | — | NH |