NPI 1114743481
Community Enhance Living Solution LLC
Practice location
- Address
- 455 Shasta St, Manchester, NH 03103-5109
- Phone
- (603) 264-8236
Authorised official
- Name
- Owoseni E Omowaye
- Title
- Chief Executive Officer
- Phone
- (603) 264-5602
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1114743481
- Entity type
- Organization
- NPI issued
- 2 Dec 2024
- Record last updated
- 2 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.