Provider Demographics
NPI:1346411394
Name:COMMUNITY LIVING FOR ELDERLY TAMWORTH
Entity Type:Organization
Organization Name:COMMUNITY LIVING FOR ELDERLY TAMWORTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKLOS
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:TOTH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:603-323-8717
Mailing Address - Street 1:22 MAYS WAY
Mailing Address - Street 2:
Mailing Address - City:WEST OSSIPEE
Mailing Address - State:NH
Mailing Address - Zip Code:03890-4467
Mailing Address - Country:US
Mailing Address - Phone:603-323-8717
Mailing Address - Fax:603-323-7506
Practice Address - Street 1:22 MAYS WAY
Practice Address - Street 2:
Practice Address - City:WEST OSSIPEE
Practice Address - State:NH
Practice Address - Zip Code:03890-4467
Practice Address - Country:US
Practice Address - Phone:603-323-8717
Practice Address - Fax:603-323-7506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03333310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility