Organization
GRANITE CASE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN ANN VIRTUE (PRESIDENT)
(603) 848-7345
Entity
Organization
Contact information
Practice address
288 BAPTIST HILL RD, CANTERBURY, NH 03224-2506
(603) 848-7345
Mailing address
288 BAPTIST HILL RD, CANTERBURY, NH 03224-2506
(603) 848-7345
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
03221
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03221
—
NH
Enumeration date
01/05/2017
Last updated
01/05/2017
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