Organization
TI - DERRY LLC
Active
Other names
DERRY HEALTHCARE AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH C TUTERA (OPERATOR)
(816) 444-0900
Entity
Organization
Contact information
Practice address
20 CHESTER RD, DERRY, NH 03038-1636
(603) 432-3801
(603) 437-8287
Mailing address
20 CHESTER RD, DERRY, NH 03038-1636
(603) 432-3801
(603) 437-8287
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02959
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99750142
—
NH
Enumeration date
11/25/2005
Last updated
09/29/2008
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