# MALLEY FARM BOYS HOME INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376756528
- **Authorized official:** MARK H SIPPLE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (603) 692-5479

## Contact information

- **Practice address:** 250 INDIGO HILL RD, SOMERSWORTH, NH 03878-2917
- **Practice address phone:** (603) 692-5479
- **Practice address fax:** (603) 692-5956
- **Mailing address:** 250 INDIGO HILL RD, SOMERSWORTH, NH 03878-2917
- **Mailing address phone:** (603) 692-5479
- **Mailing address fax:** (603) 692-5956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 1077 | NH | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30007100 | — | NH |
| 05 | — | 30830125 | — | NH |