Organization
COUNTY OF HILLSBOROUGH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE C MOOREHEAD NHA (ADMINISTRATOR)
(603) 627-5540
Entity
Organization
Contact information
Practice address
400 MAST RD, GOFFSTOWN, NH 03045-2427
(603) 627-5540
(603) 627-5547
Mailing address
400 MAST RD, GOFFSTOWN, NH 03045-2427
(603) 627-5540
(603) 627-5547
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
00640
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83016930
—
NH
Enumeration date
07/29/2005
Last updated
12/12/2014
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