Organization
THERACARE, LLC
Active
Other names
Theracare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN LAVIGNE (MANAGING PARTNER)
(603) 644-5900
Entity
Organization
Contact information
Practice address
20 WASHINGTON PLACE, BEDFORD, NH 03110
(603) 644-5900
(603) 644-5902
Mailing address
20 WASHINGTON PLACE, BEDFORD, NH 03110
(603) 644-5900
(603) 644-5902
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30397622
—
NH
01
—
AA51080
HARVARD PILGRIM
NH
Enumeration date
10/27/2006
Last updated
03/20/2013
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