Vintage Grace
Vintage Grace is a PACE Provider Organization in Derry, New Hampshire. Licensed in New Hampshire. Registered with an NPI since 2007.
- Licensed in
- NH
- In the registry since
- 2007
Practice location Address checks out
12 Peabody RdDerry, NH 03038-1838
Phone: (603) 425-6339
Fax: (603) 421-9367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X · Licence 251T00000X (NH) |
|---|
Record details
| NPI number | 1700902590 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amy Bizeur — Director · (603) 425-6339 |
| NPI enumerated | March 22, 2007 |
| Last updated in NPPES | May 29, 2008 |
| Mailing address | 12 Peabody Rd, Derry, NH 03038-1838 |