Organization
LIVING INNOVATIONS SUPPORT SERVICES, LLC
Active
Other names
Living Innovations
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEAL OUELLETT (PRESIDENT)
(603) 422-7308
Entity
Organization
Contact information
Practice address
273 LOCUST ST UNIT 2C, DOVER, NH 03820-4570
(603) 422-7308
Mailing address
273 LOCUST ST UNIT 2C, DOVER, NH 03820-4570
(603) 422-7308
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142930000
—
ME
05
—
143210000
—
ME
Enumeration date
01/04/2010
Last updated
03/22/2021
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