Organization
EASTER SEALS NEW HAMPSHIRE, INC SPECIAL TRANSIST SVCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY GAMMOM (PRESIDENT)
(603) 623-8863
Entity
Organization
Contact information
Practice address
180 ZACHARY RD STE 6, MANCHESTER, NH 03109-5623
(603) 668-8603
(603) 624-9794
Mailing address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(603) 623-8863
(603) 625-1148
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003417
—
NH
Enumeration date
11/15/2006
Last updated
08/22/2020
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