Organization
COLONIAL POPLIN NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY PHILBRICK ADMINISTRATOR (OWNER/PRESIDENT)
(603) 895-3126
Entity
Organization
Contact information
Practice address
442 MAIN ST, FREMONT, NH 03044-3434
(603) 895-3126
(603) 895-3662
Mailing address
P. O. BOX 101, 442 MAIN ST, FREMONT, NH 03044-3434
(603) 895-3126
(603) 895-3662
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02393
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30009862
—
NH
05
—
3009862
—
NH
Enumeration date
09/27/2006
Last updated
09/05/2012
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