1700902590 VINTAGE GRACE
PACE Provider Organization
Active
Basic Information
- Organization Name
- VINTAGE GRACE
- Enumeration Date
- March 22, 2007
- Last Update
- May 29, 2008
- Authorized Official
- AMY BIZEUR
DIRECTOR
Phone: (603) 425-6339
Practice Location
- Address
- 12 PEABODY RD
DERRY, NH 030381838 - Phone
- (603) 425-6339
- Fax
- (603) 421-9367
Mailing Address
- Address
- 12 PEABODY RD
DERRY, NH 030381838 - Phone
- (603) 425-6339
- Fax
- (603) 421-9367
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | 251T00000X | NH | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30009906 | 05 | NH | N/A |
| 30009905 | 05 | NH | N/A |
Frequently Asked Questions
What is VINTAGE GRACE's NPI number?
VINTAGE GRACE's NPI number is 1700902590.
Which doctor has NPI number 1700902590?
The doctor with NPI number 1700902590 is VINTAGE GRACE.
What is VINTAGE GRACE's practice address?
VINTAGE GRACE's practice address is 12 PEABODY RD, DERRY, NH, 030381838.
Which doctor practices at 12 PEABODY RD, DERRY, NH, 030381838?
VINTAGE GRACE practices at 12 PEABODY RD, DERRY, NH, 030381838.
What is VINTAGE GRACE's phone number?
VINTAGE GRACE's phone number is (603) 425-6339.
Who is (603) 425-6339?
(603) 425-6339 is the phone number for VINTAGE GRACE.
What is VINTAGE GRACE's specialty?
VINTAGE GRACE's specialty is PACE Provider Organization.
What type of doctor is VINTAGE GRACE?
VINTAGE GRACE is a PACE Provider Organization.
Is VINTAGE GRACE a Program of All-Inclusive Care for the Elderly (PACE) Provider Organization?
Yes, VINTAGE GRACE is a Program of All-Inclusive Care for the Elderly (PACE) Provider Organization.
Is VINTAGE GRACE still practicing?
Yes, VINTAGE GRACE is currently practicing.
Is VINTAGE GRACE accepting new patients?
VINTAGE GRACE may be accepting new patients. Please call their office at (603) 425-6339 to inquire about availability.
Is NPI 1700902590 still active?
Yes, NPI 1700902590 is currently active.
Where does VINTAGE GRACE practice?
VINTAGE GRACE practices in DERRY, NH.