Organization
GRANITE STATE COMPLETE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIA M WYLIE RN (CEO/DIRECTOR OF NURSING)
(603) 998-3402
Entity
Organization
Contact information
Practice address
35 STERLING DR, LACONIA, NH 03246-4900
(603) 998-3402
Mailing address
35 STERLING DR, LACONIA, NH 03246-4900
(603) 998-3402
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04202
NH
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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