Organization
LIVING INNOVATIONS SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEAL OUELLETT (PRESIDENT)
(603) 422-7308
Entity
Organization
Contact information
Practice address
273 LOCUST ST UNIT 2C, DOVER, NH 03820-4570
(603) 422-7308
Mailing address
273 LOCUST ST UNIT 2C, DOVER, NH 03820-4570
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
03/22/2021
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