Individual provider · Type 1 NPI
Michelle Vicente
Pediatric Skilled Nursing Facility · Londonderry, NH
NPI number
1134544778
Active
Practice location
286 Winding Pond Rd
Londonderry, NH 03053-3379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | 192048 (MA) |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
About NPI 1134544778
Michelle Vicente's National Provider Identifier is 1134544778, issued on Feb 19, 2014. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Londonderry, NH. The record was last updated on Feb 19, 2014.