# STATE OF NEW HAMPSHIRE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STATE OF NEW HAMPSHIRE
- **Other names:** Glencliff Home
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760477764
- **Legal business name:** STATE OF NEW HAMPSHIRE
- **Authorized official:** MR. LOUIS TODD BICKFORD MPA NHA (ADMINISTRATOR)
- **Authorized official phone:** (603) 989-3111

## Contact information

- **Practice address:** 393 HIGH ST, GLENCLIFF, NH 03238-0076
- **Practice address phone:** (603) 989-3111
- **Practice address fax:** (603) 989-3040
- **Mailing address:** 393 HIGH ST, PO BOX 76, GLENCLIFF, NH 03238-0076
- **Mailing address phone:** (603) 989-3111
- **Mailing address fax:** (603) 989-3040

## Taxonomy

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

## Other

- **Enumeration date:** 09/15/2005
- **Last updated:** 07/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 83016951 | — | NH |