Provider Demographics
NPI:1952113391
Name:LAND OF MORIAH CARE
Entity type:Organization
Organization Name:LAND OF MORIAH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR AND FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:STRATON
Authorized Official - Middle Name:K
Authorized Official - Last Name:MITALI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:603-943-1931
Mailing Address - Street 1:708 W HOLLIS ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-1362
Mailing Address - Country:US
Mailing Address - Phone:603-943-1931
Mailing Address - Fax:
Practice Address - Street 1:18 NORMANDY WAY
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-3322
Practice Address - Country:US
Practice Address - Phone:978-888-4762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child