Organization
THE VILLAGER RETIREMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE RUSSO MHSA (OWNER)
(603) 497-4225
Entity
Organization
Contact information
Practice address
50 N MAST ST, GOFFSTOWN, NH 03045-1712
(603) 497-4225
(603) 497-2096
Mailing address
50 N MAST ST, GOFFSTOWN, NH 03045-1712
(603) 497-4225
(603) 497-2096
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
02221
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30590805
—
NH
Enumeration date
11/08/2007
Last updated
11/08/2007
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