| Living Innovations | |
|
273 Locust St Unit 2c Dover NH 03820-4570 | |
| (603) 422-7308 | |
| Not Available |
| Full Name | Living Innovations |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 273 Locust St Unit 2c, Dover, New Hampshire |
| Authorized Official Name and Position | Neal Ouellett (PRESIDENT) |
| Authorized Official Contact | 6034227308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Innovations 273 Locust St Unit 2c Dover NH 03820-4570 Ph: (603) 422-7308 | Living Innovations 273 Locust St Unit 2c Dover NH 03820-4570 Ph: (603) 422-7308 |
| NPI Number | 1326378969 |
|---|---|
| Provider Enumeration Date | 01/04/2010 |
| Last Update Date | 03/22/2021 |
| Certification Date | 03/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326378969 | NPI | - | NPPES |
| 142930000 | Medicaid | ME | |
| 143210000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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