Organization
GRANITE STATE INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH RITCEY (CEO)
(603) 410-6507
Entity
Organization
Contact information
Practice address
21 CHENELL DR, CONCORD, NH 03301-8539
(603) 228-9680
(603) 225-3304
Mailing address
21 CHENELL DR, CONCORD, NH 03301-8539
(603) 228-9680
(603) 225-3304
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026000618
—
NH
Enumeration date
01/31/2011
Last updated
03/28/2024
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