Provider Demographics
NPI:1891216248
Name:RIVERMEAD LIFECARE COMMUNITY
Entity Type:Organization
Organization Name:RIVERMEAD LIFECARE COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MISS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:ELISABETH
Authorized Official - Last Name:JABLONSKI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:603-924-0033
Mailing Address - Street 1:150 RIVERMEAD RD
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-1788
Mailing Address - Country:US
Mailing Address - Phone:603-924-0033
Mailing Address - Fax:603-924-7135
Practice Address - Street 1:300 RIVERMEAD RD
Practice Address - Street 2:
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-1762
Practice Address - Country:US
Practice Address - Phone:603-924-0033
Practice Address - Fax:603-924-0033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-06
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH02275251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care