WOODCREST VILLAGE LLC NPI 1962771444

NPI Information

  • NPI: 1962771444
  • Provider Name: WOODCREST VILLAGE LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 30D1107560
  • Address: 356 MAIN ST
    NEW LONDON, NH
    ZIP 03257
  • Phone: (603) 526-2300

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NPI Details

WOODCREST VILLAGE LLC is an assisted living facility in New London, NH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. WOODCREST VILLAGE LLC NPI is 1962771444. The provider is registered as an organization entity type.

The provider's business location address is:

356 MAIN ST
NEW LONDON, NH
ZIP 03257-812
Phone: (603) 526-2300
Fax: (603) 526-2314

The provider's authorized official is Bethany Brenner .
The authorized official title is Executive Director and has the following contact phone number (603) 526-2300.

The CLIA number assigned to this NPI record is 30D1107560 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2011 and was last updated on 12/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility02614NEW HAMPSHIREYes

What is NPI?

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This page was last updated on: 3/30/2025

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