Organization
HERITAGE CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN A VIRTUE (ADMINISTRATOR)
(603) 228-2400
Entity
Organization
Contact information
Practice address
4 CHENELL DR, SUITE 101, CONCORD, NH 03301-8501
(603) 228-2400
(603) 228-9210
Mailing address
4 CHENELL DR, SUITE 101, CONCORD, NH 03301-8501
(603) 228-2400
(603) 228-9210
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
03221
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30591104
—
NH
Enumeration date
06/21/2007
Last updated
08/22/2020
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