NPI 1689090292

Nic 15 Kirkwood Corners Leasing LLC

Organisation Assisted Living Facility Lee, NH

Practice location

Address: 206 N River Rd, Lee, NH 03861-6214
Phone: (603) 659-6586
Mailing address: 2901 Dallas Pkwy 380, Plano, TX 75093-5980

Authorised official

Name: Paul Boethel
Title: Ceo
Phone: (469) 304-5033

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 02985 (NH)

Other Assisted Living Facility providers in New Hampshire →

Registry record

NPI: 1689090292
Entity type: Organization
NPI issued: 7 Mar 2014
Record last updated: 26 Mar 2014

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.