Whalio Doctors

NPI 1114743481

Community Enhance Living Solution LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Manchester, NH

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
Residential Treatment Facilities Taxonomy 320900000X

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.