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Organization

GRANITE VNA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LORI NASH MDM (DIRECTOR OF COMPLIANCE)
(603) 224-4093
Entity
Organization

Contact information

Practice address
30 PILLSBURY ST, CONCORD, NH 03301-3502
(603) 224-4093
(603) 227-7522
Mailing address
30 PILLSBURY ST, CONCORD, NH 03301-3502
(603) 224-4093
(603) 230-5687

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
03500
NH
251S00000X
Community/Behavioral Health Agency
03500
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3073973
NH
05
3076425
NH
05
3850602
NH
05
80307000
NH
05
99591029
NH
Enumeration date
05/31/2005
Last updated
02/19/2024
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