Organization
MARK H. WENTWORTH HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH RODIER RN (ADMINISTRATOR)
(603) 436-0169
Entity
Organization
Contact information
Practice address
346 PLEASANT ST, PORTSMOUTH, NH 03801-4536
(603) 436-0169
Mailing address
346 PLEASANT ST, PORTSMOUTH, NH 03801-4536
(603) 436-0169
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
00147
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003658
—
NH
Enumeration date
01/25/2007
Last updated
08/06/2009
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