# COOS COUNTY NURSING HOME

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1659377869
- **Authorized official:** MS. JEANNETTE MORNEAU NHA (NURSING HOME ADMINISTRATOR)
- **Authorized official phone:** (603) 752-2343

## Contact information

- **Practice address:** 364 CATES HILL RD, BERLIN, NH 03570-1554
- **Practice address phone:** (603) 752-2343
- **Practice address fax:** (603) 752-4773
- **Mailing address:** PO BOX 416, BERLIN, NH 03570-0416
- **Mailing address phone:** (603) 752-2343
- **Mailing address fax:** (603) 752-4773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 00636 | NH | Yes |

## Other

- **Enumeration date:** 06/22/2005
- **Last updated:** 02/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 80547244 | — | NH |
