Organization
HOME FIELD ADVANTAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY BLACKINGTON OTD, OTR/L (OWNER)
(603) 957-0582
Entity
Organization
Contact information
Practice address
65 MENDUM AVE, PORTSMOUTH, NH 03801-5007
(603) 957-0582
Mailing address
65 MENDUM AVE, PORTSMOUTH, NH 03801-5007
(603) 957-0582
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/07/2019
Last updated
08/07/2019
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