Provider Demographics
NPI:1629536107
Name:NASHUA ADULT DAY HEALTH LLC
Entity Type:Organization
Organization Name:NASHUA ADULT DAY HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-568-9237
Mailing Address - Street 1:32 DANIEL WEBSTER HWY STE 10
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-4859
Mailing Address - Country:US
Mailing Address - Phone:603-568-9237
Mailing Address - Fax:
Practice Address - Street 1:32 DANIEL WEBSTER HWY STE 10
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-4859
Practice Address - Country:US
Practice Address - Phone:603-568-9237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care