Organization
AXIS HEALTH AT DERRY OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENT PHILIPSON (MEMBER)
(516) 869-3700
Entity
Organization
Contact information
Practice address
20 CHESTER RD, DERRY, NH 03038-1636
(603) 432-3801
Mailing address
22 PLEASANT RIDGE RD, SPRING VALLEY, NY 10977-1609
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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