Saint Joseph Residence
NPI #1396724795 in Manchester, New Hampshire
Provider Information
- NPI Number
- 1396724795
- Entity Type
- Organization
- Organization Name
- Saint Joseph Residence
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 13, 2006
- Last Updated
- May 5, 2022
Practice Location
- Address
- 495 MAMMOTH RD
- City
- Manchester
- State
- New Hampshire
- ZIP Code
- 03104-5463
- Phone
- (603) 668-6011
Authorized Official
- Name
- MARLENE MAKOWSKI
- Title
- ADMINISTRATOR
- Phone
- (603) 668-6011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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