Organization
LIFESHARE MANAGEMENT GROUP, INC.
Active
Parent organization
LIFESHARE MANAGEMENT GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESHARE MANAGEMENT GROUP, LLC
Authorized official
MS. DENISE CAROLINE DOUCETTE (VICE PRESIDENT OF FINANCE)
(863) 868-1607
Entity
Organization
Contact information
Practice address
60 ROGERS ST, SUITE 2, MANCHESTER, NH 03103
(603) 625-8825
(603) 625-8875
Mailing address
60 ROGERS ST, SUITE 2, MANCHESTER, NH 03103-5070
(603) 625-8825
(603) 625-8875
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000646400
—
FL
05
—
003112847A
—
GA
05
—
003112847C
—
GA
05
—
140BHS
—
SC
05
—
30852455
—
NH
05
—
30854701
—
NH
05
—
3086307
—
NH
05
—
410790000
—
ME
05
—
410790100
—
ME
05
—
601100761
—
RI
05
—
691380696
—
FL
05
—
691380698
—
FL
01
—
92115
NH DCYF
NH
01
—
92116
NH DCYF
NH
05
—
LS72653
—
RI
Enumeration date
01/06/2007
Last updated
07/23/2018
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