Manor St Joseph
NPI #1174938773 in Edgeley, North Dakota
Provider Information
- NPI Number
- 1174938773
- Entity Type
- Organization
- Organization Name
- Manor St Joseph
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jun 23, 2014
- Last Updated
- Jun 23, 2014
Practice Location
- Address
- 404 4TH AVE
- City
- Edgeley
- State
- North Dakota
- ZIP Code
- 58433-7417
- Phone
- (701) 493-2477
Authorized Official
- Name
- TAMMY JANGULA
- Title
- ADMINISTRATOR
- Phone
- (701) 493-2477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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