Organization
HAVEN HEALTH CENTER AT SEACOAST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA BLOOM (COLLECTIONS SUPERVISOR)
(860) 344-3884
Entity
Organization
Contact information
Practice address
22 TUCK RD, HAMPTON, NH 03842-1225
(603) 926-4551
(603) 929-3031
Mailing address
22 TUCK RD, HAMPTON, NH 03842-1225
(603) 926-4551
(603) 929-3031
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02947
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30102995
—
NH
Enumeration date
12/14/2005
Last updated
12/28/2007
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