Provider Demographics
NPI:1497949770
Name:HILLCREST TERRACE
Entity Type:Organization
Organization Name:HILLCREST TERRACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABIEREK
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:603-645-6500
Mailing Address - Street 1:200 ALLIANCE WAY
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-8400
Mailing Address - Country:US
Mailing Address - Phone:603-645-6500
Mailing Address - Fax:603-641-1864
Practice Address - Street 1:200 ALLIANCE WAY
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-8400
Practice Address - Country:US
Practice Address - Phone:603-645-6500
Practice Address - Fax:603-641-1864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03094251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health