St. Joseph Residence, Inc. - the Washington Center
NPI #1417304460 in New London, Wisconsin
Provider Information
- NPI Number
- 1417304460
- Entity Type
- Organization
- Organization Name
- St. Joseph Residence, Inc. - the Washington Center
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 19, 2016
- Last Updated
- May 19, 2016
Practice Location
- Address
- 500 W WASHINGTON ST
- City
- New London
- State
- Wisconsin
- ZIP Code
- 54961-1971
- Phone
- (920) 982-5354
Authorized Official
- Name
- GIDGET BLANK, NHA
- Title
- EXECUTIVE DIRECTOR / CEO
- Phone
- (920) 982-5354
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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