Organization
EDGEWOOD MANOR INC
Active
Other names
The Edgewood Centre
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA J CUMMINGS NHA (ADMINISTRATOR)
(603) 766-2302
Entity
Organization
Contact information
Practice address
928 SOUTH ST, PORTSMOUTH, NH 03801-5421
(603) 436-0099
(603) 436-2422
Mailing address
928 SOUTH ST, PORTSMOUTH, NH 03801
(603) 436-0099
(603) 436-2422
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02913
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30001121
—
NH
Enumeration date
12/14/2006
Last updated
03/20/2012
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