Organization
KENDAL AT HANOVER I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT B EDGERTON (ASSOCIATE EXECUTIVE DIRECTOR)
(603) 643-7004
Entity
Organization
Contact information
Practice address
80 LYME ROAD, HANOVER, NH 03755
(603) 643-8900
(603) 643-7099
Mailing address
80 LYME ROAD, HANOVER, NH 03755
(603) 643-8900
(603) 643-7099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
310400000X
Assisted Living Facility
01954
NH
314000000X
Skilled Nursing Facility
Primary
01775
NH
Other
Enumeration date
02/13/2007
Last updated
04/27/2017
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