Susan Martlock-J&S Care Enterprise
Organization Active NPI In Home Supportive Care Agency · Gorham, NH
NPI 1114288255 · NPPES record last updated Jun 5, 2012
Key facts
- NPI
- 1114288255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- 03799 (NH)
- Legal business name
- SUSAN MARTLOCK-J&S CARE ENTERPRISE
- Practice address
- 2 1St St
Gorham, NH 03581-1007 - Phone
- (603) 345-1209
- NPI assigned
- Jun 5, 2012
- Organization subpart
- No
Authorized official
- Name
- Susan Martlock
- Title
- Administrator
- Phone
- (603) 345-1209
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 03799 | NH | Yes |
Addresses
Primary practice location
2 1St St
Gorham, NH 03581-1007
Mailing address
2 1St St
Gorham, NH 03581-1007
Phone (603) 345-1209
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03799 | Other | NH | NH DEPT. OF HEALTH AND HUMAN SERVICES - LICENSE |
Other providers in Gorham, NH
- Riverside Wellness PLLC
- Lorie L Saunders
- Paul C Schoenbeck
- Charles M Sidell
- Sue Ann Sidell DC
- Thomas Temme
- Maria Lynn Therriault
- Gary Tilton
- Town of Gorham
- Sherrill Tracy
All providers in Gorham, NH · In Home Supportive Care Agency in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.