St. Jude's Assisted Living

NPI #1275001448 in Escanaba, Michigan

Provider Information

NPI Number: 1275001448
Entity Type: Organization
Organization Name: St. Jude's Assisted Living
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 6, 2018
Last Updated: Nov 6, 2018

Practice Location

Address: 509 S 22ND ST
City: Escanaba
State: Michigan
ZIP Code: 49829-2247
Phone: (906) 786-3386

Authorized Official

Name: JESSICA BEAUCHAMP
Title: ADMINISTRATOR
Phone: (906) 241-4602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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