Organization
SUPPORTING INDEPENDENCE FOR YOUR ASPIRATION LLC
Active
Other names
SIYA
Organization subpart
No
Provider details
NPI number
Authorized official
SADICHCHHA SHAH (CHIEF EXECUTIVE OFFICER)
(603) 799-7111
Entity
Organization
Contact information
Practice address
190 MORNING GLORY DR, MANCHESTER, NH 03109-5945
(603) 799-7111
Mailing address
190 MORNING GLORY DR, MANCHESTER, NH 03109-5945
(603) 799-7111
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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