Organization
CFN MANCHESTER NORTH LLC
Active
Parent organization
ELDERTRUST OF FLORIDA INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELDERTRUST OF FLORIDA INC.
Authorized official
WILLIAM T RICHMOND (PRESIDENT)
(615) 459-6094
Entity
Organization
Contact information
Practice address
901 SUNCOOK VALLEY HWY, EPSOM, NH 03234-4329
(603) 736-4772
Mailing address
901 SUNCOOK VALLEY HWY, EPSOM, NH 03234-4329
(603) 736-4772
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02854
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0305080
BC BS NH
NH
05
—
30101898
—
NH
Enumeration date
05/23/2006
Last updated
01/30/2008
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