Basic Information
Provider Information
NPI: 1588835904
EntityType: 2
ReplacementNPI:  
OrganizationName: INNOVATIVE PLACEMENT INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 144 N CHESTNUT
Address2:  
City: CLAREMONT
State: NH
PostalCode: 03743
CountryCode: US
TelephoneNumber: 6035429511
FaxNumber:  
Practice Location
Address1: 144 CHESTNUT ST
Address2:  
City: CLAREMONT
State: NH
PostalCode: 037435845
CountryCode: US
TelephoneNumber: 6035429511
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/13/2008
LastUpdateDate: 03/13/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: RIGGLE
AuthorizedOfficialFirstName: DEBBIE
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: RECRUITER
AuthorizedOfficialTelephone: 8003229796
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
314000000X3246NHY Nursing & Custodial Care FacilitiesSkilled Nursing Facility 

No ID Information.


Home