Organization
COMMUNITY ENHANCE LIVING SOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OWOSENI E OMOWAYE (CHIEF EXECUTIVE OFFICER)
(603) 264-5602
Entity
Organization
Contact information
Practice address
455 SHASTA ST, MANCHESTER, NH 03103-5109
(603) 264-8236
Mailing address
455 SHASTA ST, MANCHESTER, NH 03103-5109
(603) 264-8236
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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