Organization
CFN MANCHESTER-CENTER LLC
Active
Parent organization
ELDERTRUST OF FLORIDA INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELDERTRUST OF FLORIDA INC
Authorized official
WILLIAM T RICHMOND (PRESIDENT)
(615) 459-6094
Entity
Organization
Contact information
Practice address
198 PEARL ST, MANCHESTER, NH 03104-4357
(603) 669-1660
Mailing address
198 PEARL ST, MANCHESTER, NH 03104-4357
(603) 669-1660
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02873
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30101907
—
NH
01
—
305030
BC BS
NH
Enumeration date
07/11/2006
Last updated
02/01/2008
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