Organization
ACCESSIBILITY FOR NEW ENGLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY K LAKE (PRESIDENT)
(603) 397-9534
Entity
Organization
Contact information
Practice address
328 PROVINCE RD, STRAFFORD, NH 03884-6644
(603) 397-9534
Mailing address
328 PROVINCE RD, STRAFFORD, NH 03884-6644
(603) 397-9534
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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