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Great Bay Services
Intellectual Disabilities Intermediate Care Facility in Dover, New Hampshire
NPI 1427417104

Great Bay Services is a Intellectual Disabilities Intermediate Care Facility based in Dover, NH. Great Bay Services practices in Dover, NH. The NPI Number for Great Bay Services is 1427417104 and holds a License No. (New Hampshire).

The current practice location address for Great Bay Services is 23 Cataract Ave # 1, Dover, NH and can be reached out via phone at 603-842-5344 and via fax at 603-343-4465.

Location: 23 Cataract Ave # 1, Dover, NH, 03820-3908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427417104
Provider Name
Great Bay Services
Credential
Provider Entity Type
Organization
Address
23 Cataract Ave # 1, Dover, NH, 03820-3908
Phone Number
603-842-5344
Fax Number
603-343-4465
Provider Enumeration Date
02/23/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1952796864 05 ME
1245626316 05 NH
1780827881 05 NH
institution
Provider Business Practice Location Address Details
Address
23 Cataract Ave # 1
City
Dover
State
New Hampshire
Zip
03820-3908
Phone Number
603-842-5344
Fax Number
603-343-4465
person
Provider Business Mailing Address Details
Address
23 Cataract Ave # 1
City
Dover
State
New Hampshire
Zip
03820-3908
Phone Number
603-842-5344
Fax Number
603-343-4465
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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