Organization
ST MICHAEL THE ARCHANGEL COMMUNITY LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR MANISHIMWE K (SHAREHOLDER)
(617) 858-4014
Entity
Organization
Contact information
Practice address
166 WELLINGTON TERRACE DR, MANCHESTER, NH 03104-4006
(617) 858-4014
Mailing address
166 WELLINGTON TERRACE DR, MANCHESTER, NH 03104-4006
(617) 858-4014
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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