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Organization

COUNTY OF STRAFFORD

Active
Other names
Riverside Rest Home
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAYMOND F BOWER (ADMINISTRATOR)
(603) 742-1348
Entity
Organization

Contact information

Practice address
276 COUNTY FARM RD, DOVER, NH 03820-6003
(603) 742-1348
Mailing address
276 COUNTY FARM RD, DOVER, NH 03820-6003
(603) 742-1348

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
00185
NH
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
00185
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30006674
NH
05
99750059
NH
Enumeration date
10/05/2005
Last updated
06/15/2016
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