Organization
STATE OF NEW HAMPSHIRE
Active
Parent organization
STATE OF NEW HAMPSHIRE
Other names
Glencliff Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEW HAMPSHIRE
Authorized official
MR. LOUIS TODD BICKFORD MPA NHA (ADMINISTRATOR)
(603) 989-3111
Entity
Organization
Contact information
Practice address
393 HIGH ST, GLENCLIFF, NH 03238-0076
(603) 989-3111
(603) 989-3040
Mailing address
393 HIGH ST, PO BOX 76, GLENCLIFF, NH 03238-0076
(603) 989-3111
(603) 989-3040
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83016951
—
NH
Enumeration date
09/15/2005
Last updated
07/18/2008
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