Organization
PROVIDENCE HOUSE ELDERCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT MUTASCIO (ADMINISTRATOR)
(603) 822-2386
Entity
Organization
Contact information
Practice address
25 MAIN ST, ROCHESTER, NH 03868-8449
(207) 459-4521
Mailing address
25 MAIN ST, ROCHESTER, NH 03868-8449
(207) 459-4521
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
04108
NH
385H00000X
Respite Care
04108
NH
Other
Enumeration date
11/22/2015
Last updated
11/22/2015
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