Organization
MASONIC HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE BIRON (ADMINISTRATOR)
(603) 669-7361
Entity
Organization
Contact information
Practice address
813 BEECH ST, MANCHESTER, NH 03104-3136
(603) 669-7361
(603) 626-4292
Mailing address
813 BEECH ST, MANCHESTER, NH 03104-3136
(603) 669-7361
(603) 626-4292
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
03170
NH
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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