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NPI 1942025804 · PACE Provider Organization · Manchester, NH
Provider details
- NPI number
- 1942025804
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Diana Polepole Teludji, Business Manager(603) 716-4968
Specialties & taxonomies
Agencies
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
89 Summerside Ave
Manchester, NH 03102-4929
Phone: (603) 512-1942
Approximate (ZIP-level) locationGet directions
Mailing address
89 Summerside Ave
Manchester, NH 03102-4929
Registry dates
- Enumerated
- 2024-11-16
- Last updated
- 2024-11-16
- Certified
- 2024-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.