NPI 1700902590

Vintage Grace

Organisation PACE Provider Organization Derry, NH

Practice location

Address: 12 Peabody Rd, Derry, NH 03038-1838
Phone: (603) 425-6339
Fax: (603) 421-9367

Authorised official

Name: Amy Bizeur
Title: Director
Phone: (603) 425-6339

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence 251T00000X (NH)

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in New Hampshire →

Registry record

NPI: 1700902590
Entity type: Organization
NPI issued: 22 Mar 2007
Record last updated: 29 May 2008

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.