- Enrollment id
- O20071022000057
- Enrollment state
- NH
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1881672095
- Multiple npi flag
- N
- Ccn
- 301521
- Associate id
- 9537255625
- Organization name
- PEMI-BAKER HOSPICE & HOME HEALTH
- Incorporation date
- 1967-01-25
- Incorporation state
- NH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 101 BOULDER POINT DR
- Address line 2
- STE 3
- City
- PLYMOUTH
- State
- NH
- Zip code
- 032643170