Organization
CFN MANCHESTER EAST 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 RICHMOND (PRESIDENT)
(615) 459-6094
Entity
Organization
Contact information
Practice address
1276 HANOVER ST, MANCHESTER, NH 03104-5623
(603) 622-3262
Mailing address
1276 HANOVER ST, MANCHESTER, NH 03104-5623
(603) 622-3262
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02852
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30101897
—
NH
Enumeration date
07/11/2006
Last updated
01/30/2008
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