Organization
PENACOOK PLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN RICH (PRESIDENT / CEO)
(978) 374-0707
Entity
Organization
Contact information
Practice address
150 WATER ST, HAVERHILL, MA 01830-6298
(978) 374-0707
(978) 521-0495
Mailing address
150 WATER ST, HAVERHILL, MA 01830-6298
(978) 374-0707
(978) 521-0495
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0739
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0906476
—
MA
Enumeration date
01/09/2006
Last updated
12/05/2011
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