Provider Demographics
NPI:1164077236
Name:ROSE MEADOW ACRES, INC.
Entity Type:Organization
Organization Name:ROSE MEADOW ACRES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:KYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-487-3590
Mailing Address - Street 1:PO BOX 1450
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:NH
Mailing Address - Zip Code:03070-1450
Mailing Address - Country:US
Mailing Address - Phone:603-487-1568
Mailing Address - Fax:603-487-1573
Practice Address - Street 1:539 OLD COACH RD
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:NH
Practice Address - Zip Code:03070-4506
Practice Address - Country:US
Practice Address - Phone:603-487-1568
Practice Address - Fax:603-487-1573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility