Organization Name: | SUSAN MARTLOCK-J&S CARE ENTERPRISE |
NPI Number: | 1114288255 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN MARTLOCK (ADMINISTRATOR) |
Mailing Address: | 2 1st St Gorham |
State: | NH US |
Postal Code: | 035811007 |
Phone Number: | 6033451209 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2012 |
NPI Last Update Date: | 06/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 03799 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |